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Individual
DR. TAREQ ISMAIL MARAQA
Active
Individual
DR. TAREQ ISMAIL MARAQA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72018
WI
2086S0127X
Trauma Surgery Physician
4301112540
MI
246Z00000X
Other Specialist/Technologist
4061
DC
Other
Enumeration date
06/21/2013
Last updated
10/29/2019
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