Individual
DR. WASSEM Y JUAKIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 FISHER ST, BILOXI, MS 39534-2508
(228) 376-2273
Mailing address
301 FISHER ST, BILOXI, MS 39534-2508
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101250946
VA
207RG0100X
Gastroenterology Physician
Primary
26269
MS
207RG0100X
Gastroenterology Physician
C172834
CA
Other
Enumeration date
06/28/2010
Last updated
06/27/2022
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