Individual
DR. NEDAL S MEJALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1238 S. CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2267
(414) 645-6664
(414) 645-6732
Mailing address
1238 S. CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2267
(414) 645-6664
(414) 645-6732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35998
WI
207Q00000X
Family Medicine Physician
Primary
35998-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811004385
—
WI
05
—
32091500
—
WI
Enumeration date
08/23/2006
Last updated
10/07/2020
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