Individual
JULIE M MOKHTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
650 MCMILLEN ST, FORT ATKINSON, WI 53538-1275
(920) 563-8900
(920) 563-0318
Mailing address
650 MCMILLEN ST, FORT ATKINSON, WI 53538-1275
(920) 563-8900
(920) 563-0318
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36399-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30065800
—
WI
Enumeration date
07/21/2006
Last updated
03/07/2023
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