Most Relevant Information
Provider Data
| NPI Number: | 1003360561 |
| Provider Name: | LAITH SHAMAN D.P.M |
| Entity Type: | Individual |
| Taxonomy Code: | 213ES0103X |
| Specialty: | Podiatrist |
| License Number: | 1159-25 |
Most Important Dates
| Enumeration Date: | 08/12/2016 |
| Last Updated: | 02/19/2020 |
Provider Practice Location
1271 N 6TH ST
MILWAUKEE
WI
532123360
Practice Location Phone/Fax
| Phone: | 4148053666 |
| Fax: |
Provider Mailing Location
1271 N 6TH ST
MILWAUKEE
WI
532123360
Provider Mailing Phone/Fax
| Phone: | 4148053666 |
| Fax: |
Suggested EMR
Podiatry EMR