Individual
MR. ABDULLAH TAWAKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5200
(414) 259-0469
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5200
(414) 259-0469
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
63974
WI
2084V0102X
Vascular Neurology Physician
259476
MA
2084V0102X
Vascular Neurology Physician
Primary
63974
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629485222
—
WI
Enumeration date
07/15/2014
Last updated
01/12/2016
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