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NPI Code Detail

MEDICARE: OSAMA M HALAWEH MD

MEDICARE: OSAMA M HALAWEH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician49180WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578519625
Entity Type Code : Individual
Provider Name (Legal Business Name) : OSAMA M HALAWEH MD
Provider Business Mailing Address
First Line : 4061 OLD PESHTIGO RD
Second Line :
City : MARINETTE
State : WI
Zip : 54143-3887
Country : US
Telephone Number : 715-732-8000
Fax Number :
Provider Business Practice Location Address
First Line : 4061 OLD PESHTIGO RD
Second Line :
City : MARINETTE
State : WI
Zip : 54143-3887
Country : US
Telephone Number : 715-732-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 03/07/2023

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