Individual
JOHN MICHAEL NESSIM KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 S PARK ST, MADISON, WI 53715-1375
(608) 417-6090
(608) 417-7959
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
48424
WI
Other
Enumeration date
12/20/2007
Last updated
12/31/2020
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