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1720104706
MOUNIR FERTIKH
MADISON, WI
NPI
1720104706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: WI 66855-20)
Enumeration Date
2007-03-22
Last Update Date
2020-11-12
Business Address
MOUNIR FERTIKH MD
700 S PARK ST
MADISON, WI 53715
Phone number: 608-260-2900
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Mailing Address
MOUNIR FERTIKH MD
700 S PARK ST
MADISON, WI 53715-1830
Phone number: 608-260-2900
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