HERSI CABDI MOALLIN

GREEN BAY, WI
NPI1154818953
Professional NameHERSI CABDI MOALLIN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WI  75622-20)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-04-17
Last Update Date2021-08-27
Business Address
Dr. HERSI CABDI MOALLIN
1860 SHAWANO AVE
GREEN BAY, WI 54303-2667
Phone number: 920-496-4700
Mailing Address
Dr. HERSI CABDI MOALLIN
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700