Individual
RAGE HASSAN NUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
658 S GAMMON RD STE 205, MADISON, WI 53719-1374
(612) 422-9288
Mailing address
658 S GAMMON RD STE 205, MADISON, WI 53719-1374
(612) 422-9288
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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