Individual
ANJUM MOHAMMAD RAZZAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
35065-20
WI
208D00000X
General Practice Physician
Primary
35065-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31989800
—
WI
Enumeration date
10/03/2006
Last updated
08/25/2016
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