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Individual

RAEVA S MALIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 955-0094
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 955-0094

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
83251
WI
208M00000X
Hospitalist Physician
Primary
83251
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1467863530
WI
Enumeration date
05/12/2014
Last updated
12/09/2024
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