Individual
MORTEZA JAHANGIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 782-9760
(608) 392-7845
Mailing address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 782-9760
(608) 392-7845
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35986
IA
2085R0202X
Diagnostic Radiology Physician
Primary
43841
WI
Other
Enumeration date
10/31/2005
Last updated
07/19/2010
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