Individual
USAMA EJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(608) 317-8052
Mailing address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(608) 317-8052
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
101373-851
WI
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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