Individual
IDIRIS ABDIRAHMAN ESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
(920) 735-7618
Mailing address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
(920) 735-7618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
71804
MN
207R00000X
Internal Medicine Physician
76850
WI
208M00000X
Hospitalist Physician
Primary
76850
WI
Other
Enumeration date
04/01/2019
Last updated
09/21/2022
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