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Individual

ABDUL MOHSIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301
(920) 445-7222
(920) 445-7289
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63762-20
WI
208M00000X
Hospitalist Physician
168654
OR
208M00000X
Hospitalist Physician
52838
MN
208M00000X
Hospitalist Physician
Primary
63762-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100048516
WI
Enumeration date
01/20/2009
Last updated
10/21/2024
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