Mazen Alkhalisy, MD

NPI 1417931106 · on the registry since 2005

Practice

Address: 704 S Webster Ave
Green Bay, WI 54301
Phone: (920) 433-3784
Organisation at this address: Daniel G Koster Md Sc
New Moms Of Green Bay Sc
New Dermatology Group Ltd
Green Bay Surgical Center
Bellin Memorial Hospital Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 50

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin