Individual
ASHRAF ABBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3329 N RICHMOND ST, APPLETON, WI 54911-1063
(920) 380-2715
Mailing address
1121 E NORTH AVE, MILWAUKEE, WI 53212-3515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
68662
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2016
Last updated
01/13/2021
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