MEDICARE: MOHAMED HUSEIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146M00000X	Intermediate Emergency Medical Technician	H2505419514905	WI

General Provider Information

NPI Number	:	1588461024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMED HUSEIN

Provider Business Mailing Address
First Line	:	3739 S PACKARD AVE APT 104
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53235-4319
Country	:	US
Telephone Number	:	414-399-5235
Fax Number	:

Provider Business Practice Location Address
First Line	:	3739 S PACKARD AVE APT 104
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53235-4319
Country	:	US
Telephone Number	:	414-399-5235
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	03/03/2025

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Directions to “ MOHAMED HUSEIN ” Practice Location

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