Ayaz M. Samadani, Md, Sc
NPI #1396985636 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1396985636
- Entity Type
- Organization
- Organization Name
- Ayaz M. Samadani, Md, Sc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 26, 2009
- Last Updated
- Jul 14, 2014
Practice Location
- Address
- 215 CORPORATE DR
- Address 2
- SUITE H
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-3123
- Phone
- (920) 887-7731
Authorized Official
- Name
- AYAZ M SAMADANI, MD
- Title
- OWNER
- Phone
- (920) 887-7731
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
| Durable Medical Equipment & Medical Supplies |
| Clinic/Center |
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