Individual
MOBIN MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF CARDIOLOGY, MILWAUKEE, WI 53226-3522
(414) 955-6777
(414) 955-6203
Mailing address
9200 W WISCONSIN AVE, DIVISION OF CARDIOLOGY, MILWAUKEE, WI 53226-3522
(414) 955-6777
(414) 955-6203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39503
MN
207RC0000X
Cardiovascular Disease Physician
Primary
60755
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154361715
—
WI
05
—
520723100
—
MN
Enumeration date
06/08/2006
Last updated
10/07/2019
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