HomeNPI Verification

NPI Verification

National Provider Identifier: 1417931106

Mazen a Alkhalisy, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine

Code: 207R00000X

Practice Address

704 S WEBSTER AVE

GREEN BAY, WI 543013528

Phone: 920-433-3784

NPI Enumeration Date

December 6, 2005

NPI Number

1417931106

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry