Individual
AHMED FAROUK MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 496-4700
Mailing address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
69402-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2015
Last updated
08/23/2019
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