Individual
ABDIRIZAK MUHUDIN HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5515 S DISCH AVE APT 1, CUDAHY, WI 53110-2630
(262) 720-3132
Mailing address
5515 S DISCH AVE APT 1, CUDAHY, WI 53110-2630
(262) 720-3132
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
H2500139637003
WI
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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