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Contact Information

FADI ALSOUS, MD
3802 OAKWOOD MALL DR
EAU CLAIRE, WI54701
 Phone: 715-839-9280
 Fax: 715-839-9348
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for FADI ALSOUS · (Male)

NPI Number 1710990726
Status Active
Credentials MD
Entity Individual
Enumeration date 08/14/2006
Last updated 06/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 47299-020
  • WI Medicaid 34595500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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