Individual
ABAS ABUKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 S 15TH ST, MILWAUKEE, WI 53221-1608
(716) 292-4866
Mailing address
3800 S 15TH ST, MILWAUKEE, WI 53221-1608
(716) 292-4866
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
A1260140000701
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92-0422097
NON MEDICAL
WI
Enumeration date
09/27/2022
Last updated
09/27/2022
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