Individual
MOHAMEDDEQ A ISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5939 S 23RD ST, MILWAUKEE, WI 53221-4901
(414) 553-3574
Mailing address
5939 S 23RD ST, MILWAUKEE, WI 53221-4901
(414) 553-3574
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
I200-5419-7001-07
WI
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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