Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL JOHN IBRAHIM
ActivePhysician Assistant · CASPER, WY
Registration Details
- NPI Number
- 1235926148
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2025 (1.0076645949899 yrs)
- Last Updated
- Apr 23, 2025
- License
-
PA1343 (WY)
Practice Information
- Address
-
428 S DURBIN ST STE 104CASPER, WY, 826012829Browse WY providers · Browse ZIP 82601
- Phone
- 3073374284
- Fax
- 3072243436
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CASPER, WY
| Name | Credential | NPI |
|---|---|---|
| DANIEL W. FEDORE | PA | 1902899230 |
| JENNIFER LYNN FRARY | PA-C | 1609862580 |
| ANN M HAACK | PA | 1629037130 |
| AARON C SCHILLING | PA | 1548215130 |
| WILLIAM R SHUGHART | PA-C | 1285673962 |
| TIMOTHY CHRISTOPHER GLENNON II | PA | 1447286943 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.