Dr Abdelouahid Souala, MD | |
3113 Saemann Ave, Sheboygan, WI 53081-1957 | |
(920) 496-4700 | |
Not Available |
Full Name | Dr Abdelouahid Souala |
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Gender | Male |
Speciality | Surgery |
Location | 3113 Saemann Ave, Sheboygan, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033600721 | NPI | - | NPPES |
100245294 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 125.072496 (Illinois) | Secondary |
208600000X | Surgery | 81346-20 (Wisconsin) | Primary |
Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
Mailing Address | Practice Location Address |
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Dr Abdelouahid Souala, MD Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Dr Abdelouahid Souala, MD 3113 Saemann Ave, Sheboygan, WI 53081-1957 Ph: (920) 496-4700 |
Dr. Kenneth J. Lisberg, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2920 Superior Ave, Sheboygan, WI 53081 Phone: 920-452-4911 Fax: 920-458-3163 | |
Dr. Badri N Ganju, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1155 | |
Dr. Stephen J. Werner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2920 Superior Ave, Sheboygan, WI 53081 Phone: 920-496-4700 Fax: 920-458-3163 | |
Dr. William Ritt, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Dr. William P Chleborad, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1155 | |
Nicholas John Draeger, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-828-2700 |