DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MUSTAFA SYED AZIMUDDIN, DO

Active

MUSTAFA SYED AZIMUDDIN, DO is a Family Medicine healthcare provider located in MOUNT PLEASANT, Wisconsin. NPI 1366970576 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MOUNT PLEASANT, WI

Registration Details

NPI Number
1366970576
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2017 (9.1726668584144 yrs)
Last Updated
Jan 3, 2025
Licenses
125070421 (IL)
73923 (WI)

Practice Information

Address
4328 OLD GREEN BAY RD
MOUNT PLEASANT, WI, 534039489
Browse WI providers · Browse ZIP 53403
Phone
2626877606
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in MOUNT PLEASANT, WI

Name Credential NPI
DR. JAMES DEAN MATACZYNSKI MD 1285613109
AMY RUTH CROWDER MD 1831164342
DR. BRIAN J HETTRICK M.D. 1942262712
DR. BRADY T WELSH MD 1942317904
DR. ANGELO B REYES M.D. 1073683470
CHRISTOPHER VINCENT CATALDI M.D. 1235201690
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.