Ijaz A Malik MD

NPI 1104893296 - Nuclear Medicine - 207UN0901X

NPI Details
NPI 1104893296
Gender Male
Enumeration Date 03/07/2006
Last Updated 02/20/2012
Entity Type Individual
Active Over 12 years ago
Practice Location
960 N 12TH ST
Phone (414) 219-7653
Fax (414) 219-7676
Business Location
PO BOX 2040
MILWAUKEE WI, 53201-2040, US
Phone (414) 219-7653
Fax (414) 219-7676
Taxonomy Code 207UN0901X
License State Wisconsin
License Number 32806-020
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According to our database, Ijaz A Malik MD NPI is 1104893296, taxonomy code is 207UN0901X and license number is 32806-020, license state is located at Wisconsin. Ijaz A Malik MD physically located at 960 N 12th St, Milwaukee WI, 53233. NPI Number Ijaz A Malik MD has the Individual type.

1104893296 NPI number is provided on an as is basis without warranty of any kind. 1104893296 is maintained by the National Plan & Provider Enumeration System. The contents of Ijaz A Malik MD are for informational purposes only.