Aly, Marwan

Aly, Marwan is an individual health care provider with primary practice located at 5800 W Burleigh St , Milwaukee WI 53210-1516. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Aly, Marwan can be contacted via phone (414) 442-5400.

Contact Information

Primary practice address
5800 W Burleigh St Milwaukee WI 53210-1516
Phone: (414) 442-5400
Fax: (414) 442-5468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3299-23 Wisconsin

Profile Details

NPI number 1609124189
LBN Legal business name Aly, Marwan
Credentials M.D., MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2012
Last updated Oct 18th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609124189 NPPES
Wisconsin MEDICAID 100038566
Wisconsin MEDICAID 1609124189

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