Individual
MAHER MOURAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
Mailing address
1890 SILVER CROSS BLVD, STE 265, NEW LENOX, IL 60451-9623
(608) 373-8000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
36615-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730104076
—
WI
01
—
P01510496
RAILROAD MEDICARE
WI
Enumeration date
07/13/2006
Last updated
01/26/2018
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