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Individual

DR. ABDULGHANI MOUNIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 744-7880
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81601
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000246932
WI
Enumeration date
04/02/2021
Last updated
09/26/2024
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