IndividualActive
Azam Qureshi, M.D.
NPI 1245899038 · Dermatology Physician · Manitowoc, WI
Provider details
- NPI number
- 1245899038
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 100818-875 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1515 Randolph Ct
Manitowoc, WI 54220-8345
Phone: (920) 683-5278
Fax: (920) 482-0359
Approximate (ZIP-level) locationGet directions
Mailing address
801 York St
Manitowoc, WI 54220-4630
Additional practice locations (2)
- 7040 N Port Washington Rd Ste 404Glendale, WI 53217-3885Phone: (414) 355-2405Fax: (414) 355-6460
- 2600 N Mayfair Rd Ste 810Milwaukee, WI 53226-1328Phone: (414) 771-1122Fax: (414) 771-1352
Registry dates
- Enumerated
- 2019-06-06
- Last updated
- 2023-08-18
- Certified
- 2023-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.