Individual
MARYAM SHITTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 S SUNNY SLOPE RD STE 108, NEW BERLIN, WI 53151-4504
(262) 317-9660
(262) 317-9650
Mailing address
3333 S SUNNY SLOPE RD STE 108, NEW BERLIN, WI 53151-4504
(262) 317-9660
(262) 317-9650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
63075-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100040739
—
WI
Enumeration date
08/17/2012
Last updated
02/10/2026
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