Individual
DR. MARWAN ALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPAS, PA-C
Contact information
Practice address
5800 W BURLEIGH ST, MILWAUKEE, WI 53210-1516
(414) 442-5400
(414) 442-5468
Mailing address
5800 W BURLEIGH ST, MILWAUKEE, WI 53210-1516
(414) 442-5400
(414) 442-5468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3299-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100038566
—
WI
05
—
1609124189
—
WI
Enumeration date
08/15/2012
Last updated
10/18/2023
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