Individual
OMEED HAFEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3653
Mailing address
PO BOX 8031, APPLETON, WI 54912-8031
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
72746-20
WI
Other
Enumeration date
05/18/2016
Last updated
01/31/2024
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