Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mariam Omosalewa Dundu, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1679215982

Dr. Mariam Omosalewa Dundu, MD is a Geriatric Medicine in Milwaukee, Wisconsin. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1020 N 12th St
Milwaukee, WI 53233-1308
Phone: (414) 649-6780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 Highland Avenue, Lewistown, PA 17044 — (717) 242-7507

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 87629 (WI)

Record details

NPI number1679215982
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2022
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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