Individual
DALAL HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3000
Mailing address
9200 W WISCONSIN AVENUE, MILWAUKEE, WI 53226-3522
(414) 805-5700
(414) 454-0152
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
09/27/2017
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