Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mazen A Alkhalisy, MD

Individual provider Internal Medicine Physician · NPI 1417931106

Mazen A Alkhalisy, MD is an Internal Medicine in Green Bay, Wisconsin. Qualified in 1998, 28 years ago. Practices with Apogee Medical Group Wisconsin SC, a 42-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
28
Licensed in
WI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

704 S Webster Ave
Green Bay, WI 54301-3528
Phone: (920) 433-3784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 44696 (WI)

Record details

NPI number1417931106
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 6, 2005
Last updated in NPPESMarch 24, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Apogee Medical Group Wisconsin Sc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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