Individual
DR. MARWAN IBRAHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
S5177 DAMAR PRIVATE DR, EAU CLAIRE, WI 54701-2223
(612) 237-6233
Mailing address
S5177 DAMAR PRIVATE DR, EAU CLAIRE, WI 54701-2223
(612) 237-6233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001902-15
WI
Other
Enumeration date
12/30/2018
Last updated
12/30/2018
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