Mustansir Majeed Md Sc | |
1701 Sharp Rd Waterford WI 53185-5214 | |
(262) 534-7297 | |
Not Available |
Full Name | Mustansir Majeed Md Sc |
---|---|
Speciality | Family Medicine |
Location | 1701 Sharp Rd, Waterford, Wisconsin |
Authorized Official Name and Position | Mustansir Majeed (PRESIDENT/OWNER) |
Authorized Official Contact | 2625347297 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mustansir Majeed Md Sc 1001 W Glen Oaks Ln Ste 105 Mequon WI 53092-3369 Ph: (414) 365-3210 | Mustansir Majeed Md Sc 1701 Sharp Rd Waterford WI 53185-5214 Ph: (262) 534-7297 |
NPI Number | 1093963415 |
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Provider Enumeration Date | 08/28/2008 |
Last Update Date | 03/05/2023 |
Medicare PECOS PAC ID | 4981771276 |
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Medicare Enrollment ID | O20080929000630 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093963415 | NPI | - | NPPES |
32462500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 39808 (Wisconsin) | Primary |
Provider Name | Mustansir Majeed |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689778920 PECOS PAC ID: 0749230415 Enrollment ID: I20050131000361 |
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