Mostafa A Ibrahim

NPI #1467794628 in Clintonville, Wisconsin

Provider Information

NPI Number: 1467794628
Entity Type: Individual
Name: Mostafa A Ibrahim
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 25, 2013
Last Updated: Mar 25, 2013

Practice Location

Address: 8 S MAIN ST
City: Clintonville
State: Wisconsin
ZIP Code: 54929-1565
Phone: (715) 823-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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