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Individual

DR. HANADI BU-ALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
201 N MAYFAIR RD, 3RD FLOOR, WAUWATOSA, WI 53226-4216
(414) 256-1920
(414) 256-1921
Mailing address
201 N MAYFAIR RD, 3RD FLOOR, WAUWATOSA, WI 53226-4216
(414) 256-1920
(414) 256-1921

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35 . 089507
OH
208600000X
Surgery Physician
4301078926
MI
208600000X
Surgery Physician
Primary
51735-020
WI

Other

Enumeration date
04/05/2007
Last updated
08/17/2010
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