MEDICARE: SAED ALROWEISI

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	172A00000X	Driver

General Provider Information

NPI Number	:	1467149252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAED ALROWEISI

Provider Business Mailing Address
First Line	:	6187 HIGHLAND LN APT 2
Second Line	:
City	:	GREENDALE
State	:	WI
Zip	:	53129-1916
Country	:	US
Telephone Number	:	414-202-3652
Fax Number	:

Provider Business Practice Location Address
First Line	:	6187 HIGHLAND LN APT 2
Second Line	:
City	:	GREENDALE
State	:	WI
Zip	:	53129-1916
Country	:	US
Telephone Number	:	414-202-3652
Fax Number	:

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

Provider Enumeration Date	:	04/20/2023
Last Update Date	:	04/20/2023

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Directions to “ SAED ALROWEISI ” Practice Location

Language	Start Address	Practice Location

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