Individual
DR. HERSI CABDI MOALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1631 4TH ST SW STE 114B, MASON CITY, IA 50401-1612
(641) 428-6000
Mailing address
1000 4TH ST SW, MASON CITY, IA 50401-2800
(641) 428-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53868
IA
207R00000X
Internal Medicine Physician
75622-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2018
Last updated
12/04/2024
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