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Organization
KENOSHA URGICARE
Active
Organization
KENOSHA URGICARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FUAD SHIHAB AHMAD APNP (OWNER)
(262) 925-0535
Entity
Organization
Contact information
Practice address
6430 S GREEN BAY RD, SUITE 104, KENOSHA, WI 53142
(262) 925-0535
(262) 925-0538
Mailing address
6430 S GREEN BAY RD, SUITE 104, KENOSHA, WI 53142
(262) 925-0535
(262) 925-0538
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/13/2011
Last updated
10/25/2011
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