Doctor Name: | DR. ESHRAQ AL-JAGHBEER |
NPI Number: | 1184897357 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 51511 |
Business Practice Address: | 2801 W Kinnickinnic River Pkwy Ste 245 Milwaukee, WI - 532153678 |
Business Phone Number: | 4146496780 |
Business Fax Number: | 4146496030 |
Mailing Address: | 2801 W Kinnickinnic River Pkwy, Ste 245 MILWAUKEE |
State: | WI |
Postal Code: | 532153669 |
Phone Number: | 4146496780 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2008 |
NPI Last Update Date: | 10/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 51511 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |