Individual
IJAZ A MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 N 12TH ST, SUITE 400, MILWAUKEE, WI 53233
(414) 219-7653
(414) 219-7676
Mailing address
PO BOX 2040, MILWAUKEE, WI 53201-2040
(414) 219-7653
(414) 219-7676
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
32806
WI
207UN0901X
Nuclear Cardiology Physician
32806-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34064500
—
WI
Enumeration date
03/07/2006
Last updated
11/24/2021
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