Individual
DR. MICHAEL ROUSHDY KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
505 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-2181
Mailing address
1216 VIA CORONEL, PALOS VERDES ESTATES, CA 90274-1992
(585) 748-2080
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
14069
ND
208600000X
Surgery Physician
69129
TN
208600000X
Surgery Physician
Primary
77985
WI
208600000X
Surgery Physician
A67078
CA
208600000X
Surgery Physician
MD178526
OR
Other
Enumeration date
04/05/2006
Last updated
09/19/2024
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