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Alfatah Muhudin Hassan
Intermediate Emergency Medical Technician in Cudahy, Wisconsin
NPI 1164173605

Alfatah Muhudin Hassan is a Intermediate Emergency Medical Technician based in Cudahy, WI. Alfatah Muhudin Hassan practices in Cudahy, WI. The NPI Number for Alfatah Muhudin Hassan is 1164173605 and holds a License No. H2500139810006 (Wisconsin).

The current practice location address for Alfatah Muhudin Hassan is 5515 S Disch Ave Apt 2, Cudahy, WI and can be reached out via phone at 414-334-3341.

Location: 5515 S Disch Ave Apt 2, Cudahy, WI, 53110-2630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164173605
Provider Name
Alfatah Muhudin Hassan
Credential
Provider Entity Type
Individual
Gender
Male
Address
5515 S Disch Ave Apt 2, Cudahy, WI, 53110-2630
Phone Number
414-334-3341
Fax Number
Provider Enumeration Date
01/17/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87-4381953 01 WI NON EMERGENCY MEDICARE
institution
Provider Business Practice Location Address Details
Address
5515 S Disch Ave Apt 2
City
Cudahy
State
Wisconsin
Zip
53110-2630
Phone Number
414-334-3341
Fax Number
person
Provider Business Mailing Address Details
Address
5515 S Disch Ave Apt 2
City
Cudahy
State
Wisconsin
Zip
53110-2630
Phone Number
414-334-3341
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Intermediate
Speciality
-
Taxonomy
146M00000X
License No.
H2500139810006 (Wisconsin)
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
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