SearchWisconsin342000000X

Abdisamad Mohamud

NPI 1396618013 · on the registry since 2025 · sole proprietor

Practice

Address
704 S Oakland Ave Lowr
Green Bay, WI 54304
Phone
(920) 489-4821

Registry record

Primary taxonomy
342000000X
342000000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin