NPI 1629221502

Mohammad Mallick, MD, LLC

Organisation Psychiatric Hospital Unit Brookfield, WI

Practice location

Address: 1525 Liberty CT, Brookfield, WI 53045-5327
Phone: (262) 821-5525
Fax: (262) 821-5525

Authorised official

Name: Mohammad Sultan Mallick
Title: President
Phone: (282) 821-5525

Registered specialties

Psychiatric Hospital Unit Primary

Hospital Units Taxonomy 273R00000X Licence 22719 (WI)

Other Psychiatric Unit providers in Wisconsin →

Registry record

NPI: 1629221502
Entity type: Organization
NPI issued: 23 Oct 2008
Record last updated: 23 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.