Individual
GHUDRAN A ABDULAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14555 W NATIONAL AVE, SUITE 165, NEW BERLIN, WI 53151-4494
(262) 827-3636
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46029
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34617900
—
WI
Enumeration date
08/03/2006
Last updated
11/18/2021
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