Individual
FATIMA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
5900 S LAKE DR, CUDAHY, WI 53110
(414) 489-4058
(414) 489-4710
Mailing address
2901 W KINNICKINNIC RIVER PKWY STE 309, MILWAUKEE, WI 53215-3660
(414) 649-1292
(414) 489-4710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61734
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100035085
—
WI
Enumeration date
04/03/2012
Last updated
11/18/2021
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