Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alfatah Muhudin Hassan

Individual provider Intermediate Emergency Medical Technician · NPI 1164173605

Alfatah Muhudin Hassan is an Intermediate Emergency Medical Technician in Cudahy, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022
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Practice location Address checks out

5515 S Disch Ave Apt 2
Cudahy, WI 53110-2630
Phone: (414) 334-3341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intermediate Emergency Medical Technician (primary) Taxonomy 146M00000X · Licence H2500139810006 (WI)

Record details

NPI number1164173605
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 17, 2022
Last updated in NPPESAugust 31, 2023
Certification dateJuly 9, 2022

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