Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Medical & Surgical Center

Organization Surgery Physician · NPI 1932308186

Great Lakes Medical & Surgical Center is a Surgery Physician in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

6000 S 27th St
Milwaukee, WI 53221
Phone: (414) 282-7575
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 19858020 (WI)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 19858020 (WI)

Record details

NPI number1932308186
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bahram Namdari — Owner · (414) 282-7575
NPI enumeratedJuly 17, 2007
Last updated in NPPESJuly 17, 2007
Mailing addressPo Box 210464, Milwaukee, WI 53221

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