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Individual

TALAL M AL-QAOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
309 W JOHNSON ST, MADISON, WI 53703-3471
(000) 000-0000
Mailing address
309 W JOHNSON ST, MADISON, WI 53703-3471

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
64809-20
WI
208600000X
Surgery Physician
64809
WI
208800000X
Urology Physician
64809
WI

Other

Enumeration date
10/10/2016
Last updated
12/22/2020
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