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Individual

TAREK SIBAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
583 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5515
(812) 333-2663
(812) 349-9206
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01075735A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201326710
IN
Enumeration date
07/26/2008
Last updated
12/21/2020
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