Individual
AL BUGAZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60870-20
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
60870-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030642
—
WI
Enumeration date
07/28/2008
Last updated
05/19/2023
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