North Shore Internal Medicine Specialist, Sc

NPI #1669642997 in Thiensville, Wisconsin

Provider Information

NPI Number: 1669642997
Entity Type: Organization
Organization Name: North Shore Internal Medicine Specialist, Sc
Primary Specialty: Internal Medicine
Enumeration Date: Mar 3, 2008
Last Updated: Mar 14, 2008

Practice Location

Address: 140 S MAIN ST
City: Thiensville
State: Wisconsin
ZIP Code: 53092-1956
Phone: (262) 242-3369

Authorized Official

Name: MEHRAN EDALATPOUR, MD
Title: PRESIDENT
Phone: (262) 242-3369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X
Internal Medicine	207R00000X	Primary

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