Individual
MR. FUAD SHIHAB AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
6430 GREENBAY RD, SUITE 104, KENOSHA, WI 53142-2948
(262) 925-0535
(262) 925-0538
Mailing address
4155 N LAKE DR, SHOREWOOD, WI 53211-1721
(414) 962-6016
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2898
WI
Other
Enumeration date
08/30/2006
Last updated
04/27/2017
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