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Contact Information

SUHAIL M HARIRI, MD
421 CAMELOT DR
FOND DU LAC, WI54935-8335
 Phone: 920-926-8460
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for SUHAIL M HARIRI · (Male)

NPI Number 1942281068
Status Active
Credentials MD
Entity Individual
Enumeration date 11/07/2005
Last updated 12/09/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 42548
  • WI Medicaid 34009400
  • WI Other 040015273 RAILROAD MEDICARE
Hospital affiliation(s)
  • ST AGNES HSPTL - (Acute Care)
    430 E DIVISON ST
    FOND DU LAC, WI 54935
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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