Doctor Name: | DR. SAMER JABBOUR |
NPI Number: | 1043215692 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 80983 |
Business Practice Address: | 500 Wind Ridge Dr. Wausau, WI - 544014173 |
Business Phone Number: | 7158472611 |
Business Fax Number: | 7158472612 |
Mailing Address: | 500 Wind Ridge Dr., WAUSAU |
State: | WI |
Postal Code: | 544014173 |
Phone Number: | 7158472611 |
Fax Number: | 7158472612 |
NPI Enumeration Date: | 06/20/2005 |
NPI Last Update Date: | 12/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 80983 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |