| NPI | 1922337617 |
|---|---|
| Doing Business As | WALL STREET MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD I MASROOR Owner 812-288-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2024-07-17 |