| Mustansir Majeed Md Sc | |
|
1701 Sharp Rd Waterford WI 53185-5214 | |
| (262) 534-7297 | |
| Not Available |
| Full Name | Mustansir Majeed Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 Sharp Rd, Waterford, Wisconsin |
| Authorized Official Name and Position | Mustansir Majeed (PRESIDENT/OWNER) |
| Authorized Official Contact | 2625347297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mustansir Majeed Md Sc 1001 W Glen Oaks Ln Ste 105 Mequon WI 53092-3369 Ph: (414) 365-3210 | Mustansir Majeed Md Sc 1701 Sharp Rd Waterford WI 53185-5214 Ph: (262) 534-7297 |
| NPI Number | 1093963415 |
|---|---|
| Provider Enumeration Date | 08/28/2008 |
| Last Update Date | 03/05/2023 |
| Medicare PECOS PAC ID | 4981771276 |
|---|---|
| Medicare Enrollment ID | O20080929000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093963415 | NPI | - | NPPES |
| 32462500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 39808 (Wisconsin) | Primary |
| Provider Name | Mustansir Majeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689778920 PECOS PAC ID: 0749230415 Enrollment ID: I20050131000361 |
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Randall Schmidt Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 Fax: 262-534-7257 |