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Individual

DR. FADI ALSOUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3802 OAKWOOD MALL DR, EAU CLAIRE, WI 54701
(715) 839-9280
(715) 839-9348
Mailing address
3802 OAKWOOD MALL DR, EAU CLAIRE, WI 54701-3016
(715) 839-9280
(715) 839-9348

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
47299-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34595500
WI
Enumeration date
08/14/2006
Last updated
06/06/2019
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