Individual
DR. TAREK H ELAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 S KOELLER ST, OSHKOSH, WI 54902-6175
(920) 303-1712
Mailing address
131 WYLDEWOOD DR, APT # K202, OSHKOSH, WI 54904-8649
(414) 335-4608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16160-40
WI
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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