Individual
MOHAMED DJELMAMI-HANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 W. KINNICKINNIC RIVER PKWY, SUITE 777, MILWAUKEE, WI 53215
(414) 649-3390
Mailing address
2801 W KINNICKINNIC RIVER PKWY, #777, MILWAUKEE, WI 53215
(414) 649-3390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43962
WI
207RC0000X
Cardiovascular Disease Physician
43962
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
43962
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34300900
—
WI
Enumeration date
05/04/2006
Last updated
12/01/2021
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