Individual
TAMER SUHAIL MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9200 CALUMET AVE, MUNSTER, IN 46321-2885
(219) 806-6585
Mailing address
9200 CALUMET AVE, MUNSTER, IN 46321-2885
(219) 806-6585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.162374
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2019
Last updated
03/09/2023
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