Individual
HASSAN HAJI-ABDIRAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
(608) 373-8006
Mailing address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
(608) 373-8006
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
65195-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972735785
—
WI
Enumeration date
08/12/2009
Last updated
11/18/2020
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