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Mansour Shirzai, MD
Student in an Organized Health Care Education/Training Program in Janesville, Wisconsin
NPI 1265126403

Mansour Shirzai is a Student in an Organized Health Care Education/Training Program based in Janesville, WI. Mansour Shirzai practices in Janesville, WI and has the professional credentials of MD. The NPI Number for Mansour Shirzai is 1265126403 and holds a License No. 100070-851 (Wisconsin).

The current practice location address for Mansour Shirzai is 849 Kellogg Ave, Janesville, WI and can be reached out via phone at 608-755-7960 and via fax at 608-755-7873.

Location: 849 Kellogg Ave, Janesville, WI, 53546-2808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265126403
Provider Name
Mansour Shirzai
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
849 Kellogg Ave, Janesville, WI, 53546-2808
Phone Number
608-755-7960
Fax Number
608-755-7873
Provider Enumeration Date
06/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
849 Kellogg Ave
City
Janesville
State
Wisconsin
Zip
53546-2808
Phone Number
608-755-7960
Fax Number
608-755-7873
person
Provider Business Mailing Address Details
Address
849 Kellogg Ave
City
Janesville
State
Wisconsin
Zip
53546-2808
Phone Number
608-755-7960
Fax Number
608-755-7873
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
100070-851 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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