MOHAMMAD S MALLICK MD LLC

BROOKFIELD, WI
NPI1407048481
Entity TypeOrganization
Authorized ContactMARY K DUCHIN
Manager
262-646-6280
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
(Licence: WI  27719)
Enumeration Date2007-08-14
Last Update Date2007-08-14
Business Address
MOHAMMAD S MALLICK MD LLC
1525 LIBERTY CT
BROOKFIELD, WI 53045-5327
Phone number: 262-646-6280
Mailing Address
MOHAMMAD S MALLICK MD LLC
1525 LIBERTY CT
BROOKFIELD, WI 53045-5327
Phone number: 262-646-6280