Individual
HANI ALBOUSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2414 KOHLER MEMORIAL DR, 306, SHEBOYGAN, WI 53081-3129
(920) 457-4467
(920) 459-1408
Mailing address
3919 MENDOCINO LN, 306, SHEBOYGAN, WI 53083-1883
(701) 340-2672
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
62254-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100038809
—
WI
Enumeration date
10/21/2008
Last updated
10/12/2023
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