Individual
DR. MUSTAFA MAHMOUD HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 259-9290
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
74683
WI
2085R0204X
Vascular & Interventional Radiology Physician
74683
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104269943
—
WI
05
—
9000171880
—
CO
01
—
NA1214141
MEDICARE
NE
01
—
NA1215142
MEDICARE
NE
01
—
NA2517118
MEDICARE
NE
Enumeration date
04/11/2013
Last updated
09/15/2025
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