Individual
MASOOD WASIULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 744-6589
(414) 747-8848
Mailing address
100-15TH AVE, #180, SOUTH MILWAUKEE, WI 53172-1160
(414) 744-6589
(414) 747-8848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26343-20
WI
Other
Enumeration date
11/01/2006
Last updated
04/22/2013
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