Individual
DR. MOHAMAD BAKHAIDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSC, FRCSC
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8710
(414) 955-0115
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8710
(414) 955-0115
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
814211
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497434716
—
WI
Enumeration date
07/13/2023
Last updated
09/06/2023
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