Mohamed Rasekh

NPI #1598152845 in Clintonville, Wisconsin

Provider Information

NPI Number: 1598152845
Entity Type: Individual
Name: Mohamed Rasekh
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Apr 23, 2015
Last Updated: Apr 23, 2015

Practice Location

Address: 8 S MAIN ST
City: Clintonville
State: Wisconsin
ZIP Code: 54929-1565
Phone: (715) 823-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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