# MOBILE MEDICAL CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952717928
- **Authorized official:** FARID A AHMAD MD (OWNER)
- **Authorized official phone:** (414) 539-4328

## Contact information

- **Practice address:** 2418 W EDGERTON AVE, MILWAUKEE, WI 53221-3412
- **Practice address phone:** (414) 539-4328
- **Practice address fax:** (414) 539-4328
- **Mailing address:** 2418 W EDGERTON AVE, MILWAUKEE, WI 53221-3412
- **Mailing address phone:** (414) 539-4328
- **Mailing address fax:** (414) 539-4328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 61782-20 | WI | Yes |

## Other

- **Enumeration date:** 07/10/2014
- **Last updated:** 07/10/2014