Mohammad Mallick, Md, LLC
NPI #1629221502 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1629221502
- Entity Type
- Organization
- Organization Name
- Mohammad Mallick, Md, LLC
- Primary Specialty
- Psychiatric Unit
- Enumeration Date
- Oct 23, 2008
- Last Updated
- Oct 23, 2008
Practice Location
- Address
- 1525 LIBERTY CT
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53045-5327
- Phone
- (262) 821-5525
Authorized Official
- Name
- DR. MOHAMMAD SULTAN MALLICK, M.D.
- Title
- PRESIDENT
- Phone
- (282) 821-5525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Unit |
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