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Individual

DAFAALLAH HASSABELRASOOL OSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 489-9000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
50231
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100002817
WI
Enumeration date
01/23/2008
Last updated
04/01/2024
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