Healthcare Provider Details

I. General information

NPI: 1770027815
Provider Name (Legal Business Name): COMPREHENSIVE MEDICAL AND LOCUM ASSOCIATES SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2016
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7235 W APPLETON AVE
MILWAUKEE WI
53216-1932
US

IV. Provider business mailing address

7235 W APPLETON AVE
MILWAUKEE WI
53216-1932
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 Number
License Number State

VIII. Authorized Official

Name: ADNAN NAZIR
Title or Position: PRESIDENT
Credential: MD
Phone: 414-434-8517