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General NPI Number Information
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NPI Number | 1659479855
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Entity Type | Organization
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Legal Business Name | MIDWEST PULMONARY CONSULTANTS LLC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/08/2012
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Provider Practice Location Address
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Address Line | 2741 W LAYTON AVE SUITE 201
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City | MILWAUKEE
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State | WI
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Zip | 53221-2600
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Country | US
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Telephone | 414-672-7343
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Fax | 414-672-7345
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Provider Business Mailing Address
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Address Line | 4555 W SCHROEDER DR SUITE 170
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City | MILWAUKEE
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State | WI
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Zip | 53223-1496
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Country | US
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Telephone | 414-365-3210
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Fax | 414-365-3225
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. MUHAMMAD NADEEM
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Credential | M.D.
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Telephone | 414-672-7343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 37578
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License Number State | WI
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