SAM VALID

FOND DU LAC, WI
NPI1912318783
Former NameMUKHAMAD SAMI VALID
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: WI  64288 - 2)
Additional Taxonomies207R00000X Internal Medicine
(Licence: AZ  52607)
208M00000X Hospitalist
(Licence: MO  2017031843)
208M00000X Hospitalist
(Licence: IN  01077214A)
Enumeration Date2014-05-15
Last Update Date2024-01-12
Business Address
SAM VALID MD
420 E DIVISION ST
FOND DU LAC, WI 54935
Phone number: 920-926-8343
Mailing Address
SAM VALID MD
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8343