Ibn Sina Healthcare | |
37868 Us Highway 18 Prairie Du Chien WI 53821-8416 | |
(702) 453-3799 | |
(702) 453-5741 |
Full Name | Ibn Sina Healthcare |
---|---|
Speciality | Internal Medicine |
Location | 37868 Us Highway 18, Prairie Du Chien, Wisconsin |
Authorized Official Name and Position | Muhammad Ali Pervaiz (SOLE OWNER) |
Authorized Official Contact | 9143164218 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ibn Sina Healthcare 3939 Lavista Rd Ste E-348 Tucker GA 30084-5162 Ph: (702) 453-3799 | Ibn Sina Healthcare 37868 Us Highway 18 Prairie Du Chien WI 53821-8416 Ph: (702) 453-3799 |
NPI Number | 1508315680 |
---|---|
Provider Enumeration Date | 09/29/2016 |
Last Update Date | 09/29/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508315680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 50398 (Wisconsin) | Primary |
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