person
Shahada Ghaleb Shalash, MD
General Practice Physician in Westfield, Wisconsin
NPI 1760479422

Shahada Ghaleb Shalash is a General Practice Physician based in Westfield, WI. Shahada Ghaleb Shalash practices in Westfield, WI and has the professional credentials of MD. The NPI Number for Shahada Ghaleb Shalash is 1760479422 and holds a License No. 33963 (Wisconsin).

The current practice location address for Shahada Ghaleb Shalash is 113 E 2Nd St, Westfield, WI and can be reached out via phone at 608-296-3207 and via fax at 608-296-3207.

Location: 113 E 2Nd St, Westfield, WI, 53964-0245
person
Provider Profile Details
NPI Number
1760479422
Provider Name
Shahada Ghaleb Shalash
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
113 E 2Nd St, Westfield, WI, 53964-0245
Phone Number
608-296-3207
Fax Number
608-296-3207
Provider Enumeration Date
09/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31889100 05 WI
institution
Provider Business Practice Location Address Details
Address
113 E 2Nd St
City
State
Zip
53964-9101
Phone Number
608-296-3207
Fax Number
608-296-3207
person
Provider Business Mailing Address Details
Address
113 E 2Nd St
City
State
Zip
53964-9101
Phone Number
608-296-3207
Fax Number
608-296-3207
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
33963 (Wisconsin)
Definition
Definition to come...
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