Individual
HANI Y HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 575, MILWAUKEE, WI 53215-5200
(414) 649-3240
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
57532
WI
208600000X
Surgery Physician
Primary
57532
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100034303
—
WI
Enumeration date
03/26/2011
Last updated
02/28/2024
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