Individual
GHAZWAN KATMEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Mailing address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
29121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060042039
RAILROAD MEDICARE
WI
05
—
31461300
—
WI
Enumeration date
01/06/2006
Last updated
10/01/2018
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