Omeed Hafez, | |
744 S Webster Ave, Green Bay, WI 54301-3505 | |
(920) 433-3653 | |
Not Available |
Full Name | Omeed Hafez |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 744 S Webster Ave, Green Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255788360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 72746-20 (Wisconsin) | Primary |
Entity Name | Pathology Consultants Of Green Bay Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710938352 PECOS PAC ID: 5395737019 Enrollment ID: O20040401001265 |
Mailing Address | Practice Location Address |
---|---|
Omeed Hafez, Po Box 8031, Appleton, WI 54912-8031 Ph: () - | Omeed Hafez, 744 S Webster Ave, Green Bay, WI 54301-3505 Ph: (920) 433-3653 |
Matthew L Snyder, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Road, Green Bay, WI 54311 Phone: 920-288-4740 Fax: 920-288-4737 | |
Dr. Charles F Dais Ii, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-8047 | |
Oliver Graf, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-498-4200 | |
Nathanial I Kieler, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3653 | |
Robert Joseph Murphy, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 Fax: 920-884-3566 | |
Dr. Thomas S Fredeen, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3653 |