BAYAN MOUSTAFA

EAU CLAIRE, WI
NPI1720441967
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: WI  76854)
Additional Taxonomies2084N0400X Psychiatry & Neurology, Neurology
(Licence: FL  OS18182)
2084N0400X Psychiatry & Neurology, Neurology
(Licence: WI  20825)
Enumeration Date2016-04-04
Last Update Date2023-10-23
Business Address
BAYAN MOUSTAFA D.O
1400 BELLINGER ST
EAU CLAIRE, WI 54703-5222
Phone number: 715-838-5222
Mailing Address
BAYAN MOUSTAFA D.O
200 1ST ST SW
ROCHESTER, MN 55905-0002
Phone number: 715-838-5222