Individual
DR. ABDELOUAHID SOUALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3113 SAEMANN AVE, SHEBOYGAN, WI 53081-1957
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125.072496
IL
208600000X
Surgery Physician
Primary
81346-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100245294
—
WI
Enumeration date
05/29/2018
Last updated
12/26/2023
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