Individual
YASIR YUSUF MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2033 VINE ST, GREEN BAY, WI 54302-3849
(920) 489-7101
Mailing address
2033 VINE ST, GREEN BAY, WI 54302-3849
(920) 489-7101
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MTM
WI
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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