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Individual
DR. IBRAHIM AL-SANOURI
Active
Individual
DR. IBRAHIM AL-SANOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
4301075454
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301075454
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301075451
MI
207RP1001X
Pulmonary Disease Physician
51402
WI
Other
Enumeration date
08/31/2006
Last updated
10/27/2020
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