Healthcare Provider Details

I. General information

NPI: 1659293090
Provider Name (Legal Business Name): WARDA IQBAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N OAK AVE
MARSHFIELD WI
54449-5703
US

IV. Provider business mailing address

619 LAUREL CT APT 207
MARSHFIELD WI
54449-1764
US

V. Phone/Fax

Practice location:
  • Phone: 715-387-5267
  • Fax:
Mailing address:
  • Phone: 715-660-9248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number102115-851
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: