Individual
MAHMOUD ALI MOHAMED ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBCH
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6966
(414) 805-6980
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6966
(414) 805-6980
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
81464
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002351058
—
WI
Enumeration date
12/09/2019
Last updated
09/25/2024
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