Individual
MARK MERUAN MOUNAJJED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-0946
(608) 833-6965
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
45870
WI
207RI0200X
Infectious Disease Physician
Primary
45870
WI
207RI0200X
Infectious Disease Physician
45870-20
WI
208M00000X
Hospitalist Physician
45870
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891789897
—
WI
Enumeration date
09/06/2005
Last updated
12/12/2024
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