| Samir Mullick, MD | |
| 4267 W Fond Du Lac Ave, Milwaukee, WI 53216-3527 | |
| (414) 873-3440 | |
| Not Available | 
| Full Name | Samir Mullick | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 4267 W Fond Du Lac Ave, Milwaukee, Wisconsin | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568416220 | NPI | - | NPPES | 
| 32366200 | Medicaid | WI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 38382 (Wisconsin) | Primary | 
| Entity Name | Samir Mullick Md Sc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235182221 PECOS PAC ID: 8527033539 Enrollment ID: O20040901000471 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Samir Mullick, MD 4267 W Fond Du Lac Ave, Milwaukee, WI 53216-3527 Ph: (414) 873-3440 | Samir Mullick, MD 4267 W Fond Du Lac Ave, Milwaukee, WI 53216-3527 Ph: (414) 873-3440 | 
| Sarah Marie Rumler, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-4170 Fax: 414-955-6543 | |
| Alison Coren,  Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-266-6750 Fax: 414-266-6749 | |
| Brandon Palmer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-337-7050 Fax: 414-337-7020 | |
| Aidan James Reid, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-266-6800 Fax: 414-337-7068 | |
| Austin Cummings,  Pediatrics Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-8296 Fax: 414-955-0175 | |
| Dr. Swati Kumar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9000 W Wisconsin Ave, Pediatric Infectious Diseases, Milwaukee, WI 53226 Phone: 414-337-7070 Fax: 414-337-7093 | |
| Ms. Michelle Lynn Mitchell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-337-7070 Fax: 414-337-7093 |