Michael John Ibrahim

NPI #1235926148 in Casper, Wyoming

Provider Information

NPI Number
1235926148
Entity Type
Individual
Name
Michael John Ibrahim
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Apr 23, 2025
Last Updated
Apr 23, 2025

Practice Location

Address
428 S DURBIN ST STE 104
City
Casper
State
Wyoming
ZIP Code
82601-2829
Phone
(307) 337-4284

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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