Individual provider · Type 1 NPI

Susiani Intan, MD

Neuro-ophthalmology Physician · Milwaukee, WI

NPI number 1114274529 Active

Practice location

2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3669

Fax (414) 385-1988

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician 2084N0400X62449 (WI)
Neuro-ophthalmology Physician Primary 207WX0109X62499 (WI)

Neuro-ophthalmology Physician: A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.

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About NPI 1114274529

Susiani Intan, MD's National Provider Identifier is 1114274529, issued on Aug 6, 2012. The primary taxonomy on file is Neuro-ophthalmology Physician (207WX0109X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 14, 2024.