Individual
DR. MIR ABDUL BASIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, DIVISION OF NEONATOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-6820
(414) 266-6979
Mailing address
9000 W WISCONSIN AVE, DIVISION OF NEONATOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-6820
(414) 266-6979
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
40577
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002006261P
HUMANA
—
05
—
1013967546
—
WI
05
—
32558800
—
WI
Enumeration date
05/12/2006
Last updated
03/01/2024
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