Ibdaiwi, Mariam M

Ibdaiwi, Mariam M is an individual health care provider with primary practice located at 4100 State Highway 66 , Stevens Point WI 54482-8410. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Ibdaiwi, Mariam M can be contacted via phone (715) 997-6016.

Contact Information

Primary practice address
4100 State Highway 66 Stevens Point WI 54482-8410
Phone: (715) 997-6016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301503567 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 77037 Wisconsin

Profile Details

NPI number 1417452087
LBN Legal business name Ibdaiwi, Mariam M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2018
Last updated Feb 16th, 2024 - about 10 months 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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