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1093749566
SHAIBAL MAZUMDAR
MENOMONEE FALLS, WI
NPI
1093749566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine Gastroenterology
(Licence: WI 42898)
Enumeration Date
2006-07-10
Last Update Date
2021-11-23
Business Address
SHAIBAL MAZUMDAR M.D.
N84W16889 MENOMONEE AVE
MENOMONEE FALLS, WI 53051-2810
Phone number: 262-251-7500
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Mailing Address
SHAIBAL MAZUMDAR M.D.
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209-2042
Phone number: 414-352-3100
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