Healthcare Provider Details

I. General information

NPI: 1750361267
Provider Name (Legal Business Name): ADNAN NAZIR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7235 W APPLETON AVE
MILWAUKEE WI
53216-1932
US

IV. Provider business mailing address

1001 W GLEN OAKS LN STE 105
MEQUON WI
53092-3369
US

V. Phone/Fax

Practice location:
  • Phone: 414-434-8517
  • Fax: 414-365-2937
Mailing address:
  • Phone: 414-434-8517
  • Fax: 414-365-2937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number46489-020
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: