Individual
DR. ABDUL-MALIK KASSIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 DERONDA ST, AMERY, WI 54001-1412
(715) 268-8000
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
72962
MN
2084P0800X
Psychiatry Physician
Primary
84872
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2021
Last updated
07/10/2025
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