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1215165477
AWNI M AL-SUBU
MADISON, WI
NPI
1215165477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: WI 64010-20)
Enumeration Date
2009-06-26
Last Update Date
2021-01-21
Business Address
AWNI M AL-SUBU MD
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 608-263-8049
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Mailing Address
AWNI M AL-SUBU MD
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number: 608-829-5485
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