Individual
SARA HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 S 6TH ST, OAK CREEK, WI 53154-2010
(414) 346-8000
Mailing address
7901 S 6TH ST, OAK CREEK, WI 53154-2010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
UO5418
FL
Other
Enumeration date
02/28/2019
Last updated
07/28/2020
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