MOTASEM MOHD F GHAZI ALKHASONEH

OAK CREEK, WI
NPI1023533403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: WI  73961-20)
Additional Taxonomies207RN0300X Internal Medicine, Nephrology
(Licence: PA  MT213241)
Enumeration Date2017-08-07
Last Update Date2021-12-07
Business Address
MOTASEM MOHD F GHAZI ALKHASONEH
335 E MAHN CT
OAK CREEK, WI 53154-2155
Phone number: 717-307-1035
Mailing Address
MOTASEM MOHD F GHAZI ALKHASONEH
335 E MAHN CT
OAK CREEK, WI 53154-2155
Phone number: 717-307-1035