Individual
EZZIDEEN BARJES ALRAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 ANN ST, WAUKESHA, WI 53188-2263
(414) 393-9810
(414) 393-9817
Mailing address
335 E MAHN CT, OAK CREEK, WI 53154-2155
(414) 762-2020
(414) 762-2024
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
107749
MN
207RN0300X
Nephrology Physician
Primary
67505
WI
208M00000X
Hospitalist Physician
107749
MN
Other
Enumeration date
04/19/2011
Last updated
08/09/2019
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