Alkhalisy, Mazen A

Alkhalisy, Mazen A is an individual health care provider with primary practice located at 704 S Webster Ave , Green Bay WI 54301-3528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Alkhalisy, Mazen A can be contacted via phone (920) 433-3784.

Contact Information

Primary practice address
704 S Webster Ave Green Bay WI 54301-3528
Phone: (920) 433-3784
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44696 Wisconsin

Profile Details

NPI number 1417931106
LBN Legal business name Alkhalisy, Mazen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Mar 24th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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