DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MUSTAFA SYED AZIMUDDIN DO

MEDICARE: MUSTAFA SYED AZIMUDDIN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program125070421IL
2207Q00000XFamily Medicine Physician73923WI

General Provider Information

NPI Number : 1366970576
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUSTAFA SYED AZIMUDDIN DO
Provider Business Mailing Address
First Line : 4328 OLD GREEN BAY RD
Second Line :
City : MOUNT PLEASANT
State : WI
Zip : 53403-9489
Country : US
Telephone Number : 262-687-7606
Fax Number :
Provider Business Practice Location Address
First Line : 4328 OLD GREEN BAY RD
Second Line :
City : MOUNT PLEASANT
State : WI
Zip : 53403-9489
Country : US
Telephone Number : 262-687-7606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2017
Last Update Date : 01/03/2025

Similar Medicare Providers

1962504670 — CARLYNN H CREVIER M.D.
Practice Location Address:
4328 OLD GREEN BAY RD
MOUNT PLEASANT, WI
53403-9489
Practice Phone: 262-687-7606
Practice Fax: 262-687-7615
1760720833 — LOUISE M OMDAHL APNP
Practice Location Address:
4328 OLD GREEN BAY RD
MOUNT PLEASANT, WI
53403-9489
Practice Phone: 262-687-7606
Practice Fax:
1760230452 — ABIGAIL JEAN BRINDUSA STEWART PA-C
Practice Location Address:
4328 OLD GREEN BAY RD
MOUNT PLEASANT, WI
53403-9489
Practice Phone: 262-687-7606
Practice Fax:
1093605875 — MISS ELIZABETH ANNA HEINITZ OTR
Practice Location Address:
4328 OLD GREEN BAY RD
MOUNT PLEASANT, WI
53403-9489
Practice Phone: 262-687-7647
Practice Fax: 262-687-7600
1114817806 — XIAOCHEN ZHANG
Practice Location Address:
4328 OLD GREEN BAY RD
MOUNT PLEASANT, WI
53403-9489
Practice Phone: 262-687-7606
Practice Fax:
1649294513 — MICHAEL B SCHIMMING M.D.
Practice Location Address:
4328 OLD GREEN BAY RD
MT PLEASANT, WI
53403-9489
Practice Phone: 262-687-7606
Practice Fax: 262-687-7615

Directions to “ MUSTAFA SYED AZIMUDDIN DO” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.