Individual
SYED D HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
(414) 421-8400
Mailing address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
(414) 421-8400
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
61291-20
WI
207P00000X
Emergency Medicine Physician
61291-20
WI
207Q00000X
Family Medicine Physician
Primary
61291-20
WI
208D00000X
General Practice Physician
61291-20
WI
208M00000X
Hospitalist Physician
61291-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245598127
—
WI
Enumeration date
04/27/2012
Last updated
01/12/2016
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