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Individual

HANIA IRUM MAQBOOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6450
(414) 955-0082
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6450
(414) 955-0082

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301508471
MI
207P00000X
Emergency Medicine Physician
76064
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578050340
WI
Enumeration date
04/17/2018
Last updated
01/13/2023
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