Individual
FEISAL ABDULRAHMAN AMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
980 BRUCE ST, SUN PRAIRIE, WI 53590-1084
(612) 417-4888
Mailing address
980 BRUCE ST, SUN PRAIRIE, WI 53590-1084
(612) 417-4888
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0019907
WI
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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