Individual
MR. SHAKAIB MOHAMMAD RAZZAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3727 W WISCONSIN AVE, MILWAUKEE, WI 53208-3182
(414) 291-2626
(414) 431-0050
Mailing address
3727 W WISCONSIN AVE, MILWAUKEE, WI 53208-3182
(414) 291-2626
(414) 431-0050
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35171-20
WI
208D00000X
General Practice Physician
Primary
35171-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32046000
—
WI
Enumeration date
05/01/2006
Last updated
08/25/2016
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