Individual
AASIFUDDIN AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 550, MILWAUKEE, WI 53215-3696
(414) 385-8780
(414) 385-8781
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 550, MILWAUKEE, WI 53215-3696
(414) 385-8780
(414) 385-8781
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
75655
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100175105
—
WI
Enumeration date
04/14/2017
Last updated
02/15/2023
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