Organization
SLEEP DIAGNOSTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMAD ALI (MEMBER LLC)
(414) 445-0400
Entity
Organization
Contact information
Practice address
5310 W CAPITOL DR, SUITE 215, MILWAUKEE, WI 53216-2263
(414) 445-0400
(414) 445-0402
Mailing address
5310 W CAPITOL DR, SUITE 215, MILWAUKEE, WI 53216-2263
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21317400
—
WI
Enumeration date
02/08/2008
Last updated
02/14/2008
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