Individual
KUTAIBA AL ITHAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5205 S 13TH ST UNIT E, MILWAUKEE, WI 53221-3648
(414) 477-3398
Mailing address
5205 S 13TH ST UNIT E, MILWAUKEE, WI 53221-3648
(414) 477-3398
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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