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Individual

DR. MARIAM AHMED MURTAZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
3000 W MONTANA ST, MILWAUKEE, WI 53215-3628
(414) 423-5174
Mailing address
3000 W MONTANA ST, MILWAUKEE, WI 53215-3628

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62465-21
WI

Other

Enumeration date
07/09/2011
Last updated
01/08/2015
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