Individual
DR. YUSSR M IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1716 LAWRENCE DR STE 103, DE PERE, WI 54115-9108
(920) 632-6800
(920) 632-6806
Mailing address
1716 LAWRENCE DR STE 103, DE PERE, WI 54115-9108
(920) 632-6800
(920) 632-6806
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD27051
ME
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD27051
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
12/11/2025
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