Individual
MOHAMED ABDULKADIR MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 JUPITER DR APT 101, MADISON, WI 53718-2954
(608) 400-5308
Mailing address
825 JUPITER DR APT 101, MADISON, WI 53718-2954
(608) 400-5308
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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