Individual
MAZEN A BARAKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-6000
Mailing address
2901 W KINNICKINNIC RIVER PKWY STE 305, MILWAUKEE, WI 53215-3660
(414) 649-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53259-20
WI
208M00000X
Hospitalist Physician
Primary
53259
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004791
—
WI
01
—
53259-20
WI LICENSE
WI
Enumeration date
05/10/2007
Last updated
04/14/2022
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