Individual
SYED A HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735
(262) 884-8340
(262) 884-8341
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301 098 220
MI
207RH0003X
Hematology & Oncology Physician
Primary
66981
WI
207RX0202X
Medical Oncology Physician
64964
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100067319
—
WI
Enumeration date
05/11/2011
Last updated
08/20/2024
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