Individual
DR. HASSANAIN A JASSIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
42178
AZ
208600000X
Surgery Physician
Primary
60820-20
WI
2086S0129X
Vascular Surgery Physician
60820
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030482
—
WI
Enumeration date
06/12/2008
Last updated
06/25/2025
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