Individual
MARIAM M IBDAIWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4100 STATE HIGHWAY 66, STEVENS POINT, WI 54482-8410
(715) 997-6016
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
77037
WI
207Q00000X
Family Medicine Physician
4301503567
MI
Other
Enumeration date
03/27/2018
Last updated
02/16/2024
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