Individual
ABDELRAZEG ABUBAKER A HOUSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-6000
(414) 649-1328
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8895
NE
208M00000X
Hospitalist Physician
Primary
81639
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100245313
—
WI
Enumeration date
07/04/2020
Last updated
09/13/2023
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