Dr. Tariq Elmadawy
Dr. Tariq Elmadawy is a Dentist in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Michigan and Wisconsin.
- Licensed in
- MI, WI
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1551 Park Pl Ste 300Green Bay, WI 54304-1969
Phone: (920) 332-6644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 2901601681 (MI) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 6001237-15 (WI) |
Record details
| NPI number | 1164109336 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 29, 2023 |
| Last updated in NPPES | January 27, 2025 |
| Certification date | January 27, 2025 |
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