Individual
MAHER FATTOUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 JOLIET ST STE 101, DYER, IN 46311-1995
(219) 235-3148
Mailing address
4131 W LOOMIS RD, STE 300 ADVANCED PAIN MANAGEMENT, GREENFIELD, WI 53221
(414) 325-7246
(414) 325-3700
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
01083699A
IN
208VP0000X
Pain Medicine Physician
Primary
45177
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34413500
—
WI
Enumeration date
05/05/2006
Last updated
04/27/2026
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