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Omar A Iqbal, MD
Student in an Organized Health Care Education/Training Program in Janesville, Wisconsin
NPI 1275252454

Omar A Iqbal is a Student in an Organized Health Care Education/Training Program based in Janesville, WI. Omar A Iqbal practices in Janesville, WI and has the professional credentials of MD. The NPI Number for Omar A Iqbal is 1275252454 and holds a License No. 9990-851 (Wisconsin).

The current practice location address for Omar A Iqbal 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
1275252454
Provider Name
Omar A Iqbal
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
08/23/2022
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.
9990-851 (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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