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1821343625
ALIYA BAYANAGARI
RICE LAKE, WI
NPI
1821343625
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Former Name
FARZANA QURAISHI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 64352-20)
Enumeration Date
2012-07-17
Last Update Date
2023-12-21
Business Address
Dr. ALIYA BAYANAGARI MD
1700 W STOUT ST
RICE LAKE, WI 54868-5000
Phone number: 715-236-8310
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Mailing Address
Dr. ALIYA BAYANAGARI MD
1700 W STOUT ST
RICE LAKE, WI 54868-5000
Phone number: 715-236-8310
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