Individual
DR. HAZEM MOFREH AL TARAWNEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(414) 288-8208
Mailing address
1957 W CREEKSIDE CROSSING CIR APT 210, OAK CREEK, WI 53154-5699
(414) 241-0859
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
84371875
WI
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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