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Yaser R. Mustafa, MD
General Practice Physician in Janesville, Wisconsin
NPI 1992217178

Yaser R. Mustafa is a General Practice Physician based in Janesville, WI. Yaser R. Mustafa practices in Janesville, WI and has the professional credentials of MD. The NPI Number for Yaser R. Mustafa is 1992217178 and holds a License No. 7187-851 (Wisconsin).

The current practice location address for Yaser R. Mustafa is 849 Kellogg Ave, Janesville, WI and can be reached out via phone at 608-755-7960 and via fax at 608-755-7960. You can also correspond with Yaser R. Mustafa through the mailing address at 849 KELLOGG AVE, JANESVILLE, WI - 53546-2808 (mailing address contact number: 608-755-7960).

Location: 849 Kellogg Ave, Janesville, WI, 53546-2808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992217178
Provider Name
Yaser R. Mustafa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
849 Kellogg Ave, Janesville, WI, 53546-2808
Phone Number
608-755-7960
Fax Number
608-755-7960
Provider Enumeration Date
10/28/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
849 Kellogg Ave
City
Janesville
State
Wisconsin
Zip
53546
Phone Number
608-755-7960
Fax Number
608-755-7960
person
Provider Business Mailing Address Details
Address
849 Kellogg Ave
City
Janesville
State
Wisconsin
Zip
53546
Phone Number
608-755-7960
Fax Number
608-755-7960
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
2017033642 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
7187-851 (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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