Individual
MOHAMED MONEEB ABDELLATIF AZAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 496-4700
Mailing address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
75068-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2015
Last updated
05/11/2021
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