Individual
SHERIF NAGUIB GOBRIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
2514 S 102ND ST, SUITE 160, WEST ALLIS, WI 53227-2142
(414) 255-0300
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54735-20
WI
208D00000X
General Practice Physician
54735-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
4301094403
MI
Other
Enumeration date
07/01/2009
Last updated
07/10/2014
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