Individual
DR. MOHAMMAD IMRAN ANJUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1200 DEWEY AVE, AURORA PSYCHIATRIC HOSPITAL, WAUWATOSA, WI 53213
(414) 454-6754
(414) 454-6789
Mailing address
1200 DEWEY AVE, AURORA PSYCHIATRIC HOSPITAL, WAUWATOSA, WI 53213
(414) 454-6754
(414) 454-6789
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
55288
WI
2084P0802X
Addiction Psychiatry Physician
55288
WI
Other
Enumeration date
07/09/2007
Last updated
11/07/2011
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