Individual
DR. SAMER JABBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 WIND RIDGE DR., WAUSAU, WI 54401-4173
(715) 847-2611
(715) 847-2612
Mailing address
500 WIND RIDGE DR., WAUSAU, WI 54401-4173
(715) 847-2611
(715) 847-2612
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
80983
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034112
NEIGHBORHOOD HEALTH PLAN
—
01
—
25-03479
EVERCARE
—
01
—
2733012
CIGNA
—
01
—
30205047
NH MEDICAID
NH
05
—
3165078
—
MA
01
—
6831013
HEALTHSOURCE
—
01
—
771560
TUFTS HEALTH PLAN
MA
01
—
969675
NETWORK HEALTH
—
01
—
AA19892
HARVARD PILGRIM HEALTHCAR
MA
01
—
F83102
ANTHEM BLUE CROSS
NH
01
—
J17569
BLUE CROSS BLUE SHIELD
MA
01
—
P00187696
RAILROAD MEDICARE
—
Enumeration date
06/20/2005
Last updated
12/29/2010
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