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Individual

SADOUN I OMARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12635 W. BLUEMOUND ROAD, BROOKFIELD, WI 53005-8004
(414) 258-0606
(414) 258-1953
Mailing address
12635 W. BLUEMOUND ROAD, BROOKFIELD, WI 53005-8004
(414) 258-0606
(414) 258-1953

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34155
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32093100
WI
Enumeration date
09/14/2005
Last updated
03/24/2016
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