IndividualActive
Mohammad Jazayeri, MD
NPI 1336238161 · Clinical Cardiac Electrophysiology Physician · Green Bay, WI
Provider details
- NPI number
- 1336238161
- Entity type
- Individual
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 27239 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
744 S Webster Ave
2nd Floor
Green Bay, WI 54301-3505
Phone: (920) 433-3640
Fax: (920) 433-3716
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 22487
Green Bay, WI 54305-2487
Additional practice locations (2)
- 2820 Roosevelt RdMarinette, WI 54143-3834Phone: (715) 735-5225Fax: (715) 735-5388
- 820 Arbutus AveOconto, WI 54153-2004Phone: (920) 835-1100Fax: (920) 835-1099
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2023-11-28
- Certified
- 2023-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.