Individual
DR. ABDULLAH A FAYYAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2000
Mailing address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35432
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0447086
—
IA
Enumeration date
06/10/2005
Last updated
07/22/2013
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