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Individual

MOHAMED HIUSSEIN ALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6817 PARK RIDGE DR, MADISON, WI 53719-2221
(614) 929-1155
Mailing address
6817 PARK RIDGE DR, MADISON, WI 53719-2221
(614) 929-1155

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
422087380
WI
Enumeration date
04/29/2026
Last updated
04/29/2026
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