Search › Wisconsin › 103TM1800X
Mohamed Omar
NPI 1255249678 · on the registry since 2026 · sole proprietor
Practice
- Address
- 5122 Churchill Ln # 18
Middleton, WI 53562 - Phone
- (612) 258-5793
Registry record
- Primary taxonomy
- 103TM1800X
103TM1800X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-28
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