Healthcare Provider Details

I. General information

NPI: 1174442834
Provider Name (Legal Business Name): MISHAL AFZAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N OAK AVE
MARSHFIELD WI
54449-5702
US

IV. Provider business mailing address

510 W IVES ST
MARSHFIELD WI
54449-1302
US

V. Phone/Fax

Practice location:
  • Phone: 866-520-2510
  • Fax: 715-221-6992
Mailing address:
  • Phone: 866-520-2510
  • Fax: 715-221-6992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number102071851
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: