Individual
ABDIRASHID AHMED MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 N WALDOCH DR UNIT 2, APPLETON, WI 54913-8445
(619) 342-6200
Mailing address
609 N WALDOCH DR UNIT 2, APPLETON, WI 54913-8445
(619) 342-6200
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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