Individual
MUSTAFA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1218 W KILBOURN AVE STE 301, MILWAUKEE, WI 53233-1325
(414) 276-6000
(414) 276-1758
Mailing address
1218 W KILBOURN AVE STE 301, MILWAUKEE, WI 53233-1325
(414) 276-6000
(414) 276-1758
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
35.096184
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2746863
—
OH
Enumeration date
05/30/2006
Last updated
10/11/2017
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