Individual
MAHDI HEMMAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2500 S 71ST ST, WEST ALLIS, WI 53219-2509
(414) 793-9674
Mailing address
2500 S 71ST ST, WEST ALLIS, WI 53219-2509
(414) 793-9674
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
191416-30
WI
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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