Organization Name: | COMPASSIONATE DOCTORS INC |
NPI Number: | 1427380450 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ABDULLATTIEF A SULIEMAN (PRESIDENT/OWNER) |
Mailing Address: | 10625 W North Ave #230 Wauwatosa |
State: | WI US |
Postal Code: | 532262315 |
Phone Number: | 4144755800 |
Fax Number: | 4144755825 |
NPI Enumeration Date: | 02/01/2010 |
NPI Last Update Date: | 02/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 51008-20 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |