Individual
ASMA MUMTAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 S GREEN BAY RD, MOUNT PLEASANT, WI 53406-4950
(262) 554-1116
Mailing address
11000 67TH ST, KENOSHA, WI 53142-7548
(262) 308-1971
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
20249-40
WI
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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