Individual
ABDIFATAH MOHAMED HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5068 S 14TH ST, MILWAUKEE, WI 53221-3536
(414) 719-6723
Mailing address
5068 S 14TH ST, MILWAUKEE, WI 53221-3536
(414) 719-6723
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
M5320008600115
WI
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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