Individual
DR. AHMED MOHSIN IBN-MAHFOUDH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200100893
NC
207R00000X
Internal Medicine Physician
69542
WI
208M00000X
Hospitalist Physician
Primary
69542
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079429
—
WI
Enumeration date
03/16/2006
Last updated
06/19/2023
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