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

Mustafa Syed Azimuddin, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366970576

Mustafa Syed Azimuddin, DO is a Family Practice in Mount Pleasant, Wisconsin. Qualified in 2017, 9 years ago. Practices with Ascension Medical Group-Southeast Wisconsin Inc, a 555-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Wisconsin.

Years since qualifying
9
Licensed in
IL, WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4328 Old Green Bay Rd
Mount Pleasant, WI 53403-9489
Phone: (262) 687-7606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1325 Community Memorial Dr, La Grange, IL 60525-2659 — (708) 245-8900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 73923 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125070421 (IL)

Record details

NPI number1366970576
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 1, 2017
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing address4328 Old Green Bay Rd, Mount Pleasant, WI 53403-9489

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ascension Medical Group-Southeast Wisconsin Inc — 555 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mount Pleasant