Organization
TRUECARE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARID A AHMAD MD (MD)
(414) 539-4328
Entity
Organization
Contact information
Practice address
2603 W RAWSON AVE, SUITE 127, OAK CREEK, WI 53154-8422
(414) 539-4328
(414) 304-8496
Mailing address
2603 W RAWSON AVE, SUITE 127, OAK CREEK, WI 53154-8422
(414) 539-4328
(414) 304-8496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61782
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871916031
—
WI
Enumeration date
03/26/2015
Last updated
03/26/2015
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