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Individual

MOHAMMED A QADEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10400 75TH ST, KENOSHA, WI 53142
(262) 948-7000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 948-7000

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
2010-00189
NC
207RG0100X
Gastroenterology Physician
Primary
56543
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477750271
WI
05
5914622
NC
Enumeration date
06/27/2007
Last updated
03/05/2024
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