Organization
MOBILE MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARID A AHMAD MD (OWNER)
(414) 539-4328
Entity
Organization
Contact information
Practice address
2418 W EDGERTON AVE, MILWAUKEE, WI 53221-3412
(414) 539-4328
(414) 539-4328
Mailing address
2418 W EDGERTON AVE, MILWAUKEE, WI 53221-3412
(414) 539-4328
(414) 539-4328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61782-20
WI
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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