Individual
DR. MUSTAFA SYED BADRUDDUJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6308 8TH AVE, SUITE 3050, KENOSHA, WI 53143-5031
(262) 654-7002
(262) 654-6822
Mailing address
6308 8TH AVE, SUITE 3050, KENOSHA, WI 53143-5031
(262) 654-7002
(262) 654-6822
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35.087678
OH
208600000X
Surgery Physician
Primary
51809
WI
Other
Enumeration date
03/06/2007
Last updated
11/08/2011
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