1114274529 Susiani Intan, MD
Neuro-ophthalmology Physician
Active
Basic Information
- Full Name
- Susiani Intan, MD
- Gender
- Female
- Enumeration Date
- August 6, 2012
- Last Update
- October 14, 2024
Practice Location
- Address
- 2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 532153669 - Phone
- (414) 385-1922
- Fax
- (414) 385-1988
Mailing Address
- Address
- PO BOX 735044
CHICAGO, IL 606735044 - Phone
- (800) 326-2250
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Neurology Physician Neurology | 2084N0400X | Psychiatry & Neurology | 62449 | WI | No |
| Neuro-ophthalmology Physician Neuro-ophthalmology | 207WX0109X | Ophthalmology | 62499 | WI | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100038273 | 05 | WI | N/A |
| 1114274529 | 05 | WA | N/A |
| G8966407 | 01 | WA | WVH PTAN |
| G8966408 | 01 | WA | WVH PTAN |
Digital Endpoints
DIRECT Use: DIRECT
sintan317090@direct.myadvocateaurora.org
FHIR
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Frequently Asked Questions
What is Susiani Intan, MD's NPI number?
Susiani Intan, MD's NPI number is 1114274529.
Which doctor has NPI number 1114274529?
The doctor with NPI number 1114274529 is Susiani Intan, MD.
What is Susiani Intan, MD's practice address?
Susiani Intan, MD's practice address is 2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI, 532153669.
Which doctor practices at 2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI, 532153669?
Susiani Intan, MD practices at 2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI, 532153669.
What is Susiani Intan, MD's mailing address?
Susiani Intan, MD's mailing address is PO BOX 735044, CHICAGO, IL, 606735044.
What is Susiani Intan, MD's phone number?
Susiani Intan, MD's phone number is (414) 385-1922.
Who is (414) 385-1922?
(414) 385-1922 is the phone number for Susiani Intan, MD.
What is Susiani Intan, MD's specialty?
Susiani Intan, MD's specialty is Neuro-ophthalmology Physician.
What type of doctor is Susiani Intan, MD?
Susiani Intan, MD is a Neuro-ophthalmology Physician.
Is Susiani Intan, MD a Neuro-ophthalmology?
Yes, Susiani Intan, MD is a Neuro-ophthalmology.
Is Susiani Intan, MD still practicing?
Yes, Susiani Intan, MD is currently practicing.
Is Susiani Intan, MD accepting new patients?
Susiani Intan, MD may be accepting new patients. Please call their office at (414) 385-1922 to inquire about availability.
Is NPI 1114274529 still active?
Yes, NPI 1114274529 is currently active.
Where does Susiani Intan, MD practice?
Susiani Intan, MD practices in MILWAUKEE, WI.
Is Susiani Intan, MD a male or female doctor?
Susiani Intan, MD is a female doctor.