Mohammad S Mallick MD LLC
NPI #1407048481 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1407048481
- Entity Type
- Organization
- Organization Name
- Mohammad S Mallick MD LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Aug 14, 2007
- Last Updated
- Aug 14, 2007
Practice Location
- Address
- 1525 LIBERTY CT
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53045-5327
- Phone
- (262) 646-6280
Authorized Official
- Name
- MARY K DUCHIN
- Title
- MANAGER
- Phone
- (262) 646-6280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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