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Search › Wisconsin › 225100000X

Theodore Azar

NPI 1083303788 · on the registry since 2023

Practice

Address
3535 30th Ave Ste 101
Kenosha, WI 53144
Phone
(262) 657-7071
Organisation at this address
Athletico Ltd
Mayer Drug Inc
Vk Sharma Md Sc
Suresh R Naikmd Sc
Goro Tsuchiya Md Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin