Individual
HANY M MAHFOUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-1000
(715) 393-1469
Mailing address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-1000
(715) 393-1469
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015021505
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
47767
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2015021505
MO
Other
Enumeration date
03/20/2007
Last updated
05/09/2024
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