Individual
MOHAMMAD H. YAVARI RAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
54748-20
WI
208100000X
Physical Medicine & Rehabilitation Physician
D0066662
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015440700
—
MD
Enumeration date
08/31/2006
Last updated
04/30/2021
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