NPI 1164173605

Alfatah Muhudin Hassan

Practitioner Intermediate Emergency Medical Technician Cudahy, WI

Practice location

Address: 5515 S Disch Ave APT 2, Cudahy, WI 53110-2630
Phone: (414) 334-3341

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence H2500139810006 (WI)

Other Emergency Medical Technician, Intermediate providers in Wisconsin →

Registry record

NPI: 1164173605
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jan 2022
Record last updated: 31 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.