Samir Mullick Md Sc

LBN: Samir Mullick Md Sc
Samir Mullick Md Sc is an health care organization with primary practice located at 4267 W Fond Du Lac Ave , Milwaukee WI 53216-3527. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Samir Mullick Md Sc can be contacted via phone (414) 873-3440, or through Mullick, Samir via phone (414) 873-3440.

Contact Information

Primary practice address
4267 W Fond Du Lac Ave Milwaukee WI 53216-3527
Phone: (414) 873-3440
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mullick, Samir Doctor of Medicine (MD)
Phone: (414) 873-3440

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 38382 Wisconsin

Profile Details

NPI number 1235182221
LBN Legal business name Samir Mullick Md Sc
DBA Doing business as
Authorized official Mullick, Samir Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235182221 NPPES
Wisconsin MEDICAID 21267700

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