Individual
MARIAM KHALID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
824 ILLINOIS AVE, STEVENS POINT, WI 54481
(715) 342-7725
Mailing address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
69645
WI
208M00000X
Hospitalist Physician
277565
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2011
Last updated
01/03/2019
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