Individual
MOHAMMED GHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5729 ROSSLARE LN, FITCHBURG, WI 53711-6947
(608) 278-8673
Mailing address
5729 ROSSLARE LN, FITCHBURG, WI 53711-6947
(608) 278-8673
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37799
WI
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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