Individual
MR. ABDULLATTIEF ABDULAZIZ SULIEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1672 S 9TH ST, MILWAUKEE, WI 53204-3426
(414) 645-9711
(414) 645-9211
Mailing address
PO BOX 639, THIENSVILLE, WI 53092-0639
(414) 645-9711
(414) 645-9211
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
51008-020
WI
208D00000X
General Practice Physician
Primary
51008-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881864197
—
WI
01
—
K100110473
MEDICARE PTAN AGELESS
WI
01
—
K400111699
MEDICARE PTAN AGELESS
WI
01
—
WI1640
MEDICARE PTAN
WI
01
—
WI1640001 IND
MEDICARE PTAN
WI
Enumeration date
03/04/2008
Last updated
05/19/2015
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