Individual
DR. RAHMATOLLAH O SIMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
402 W LAKE ST, FRIENDSHIP, WI 53934-9699
(608) 339-3331
(608) 339-6975
Mailing address
PO BOX 40, FRIENDSHIP, WI 53934-0040
(608) 339-3331
(608) 339-6975
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17974
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30970900
—
WI
Enumeration date
03/14/2006
Last updated
08/13/2012
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