Individual
DR. WALID OMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
603 FRENCH ST, PESHTIGO, WI 54157-1207
(715) 735-4609
Mailing address
603 FRENCH ST, PESHTIGO, WI 54157-1207
(715) 735-4609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4605920
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2012
Last updated
06/11/2015
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