Individual
DR. AHMED MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-4200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
009677
GA
207L00000X
Anesthesiology Physician
Primary
84209
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100291890
—
WI
Enumeration date
10/05/2017
Last updated
01/14/2025
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