Individual
MAZEN NOUFAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5200
(414) 259-0469
Mailing address
9200 W WISCONSIN AVE, DEPT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5200
(414) 259-0469
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
60676
WI
2084N0400X
Neurology Physician
E-6122
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134344153
—
WI
Enumeration date
04/16/2007
Last updated
12/08/2021
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