Provider Demographics
NPI:1386081800
Name:ALREFAI, ALI HUSSEIN (MD)
Entity type:Individual
Prefix:DR
First Name:ALI
Middle Name:HUSSEIN
Last Name:ALREFAI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 15TH AVE
Mailing Address - Street 2:LAKESHORE BUISNESS OFFICE
Mailing Address - City:SOUTH MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53172-1160
Mailing Address - Country:US
Mailing Address - Phone:414-744-6589
Mailing Address - Fax:414-747-8848
Practice Address - Street 1:100 15TH AVE
Practice Address - Street 2:LAKESHORE BUISNESS OFFICE, ATTN: GRETCHEN SCHWEISS
Practice Address - City:SOUTH MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53172-1160
Practice Address - Country:US
Practice Address - Phone:414-744-6589
Practice Address - Fax:414-747-8848
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2024-01-23
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Provider Licenses
StateLicense IDTaxonomies
WI584872084N0400X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100034418Medicaid