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Organization
SUBBANNA JAYAPRAKASH, M.D., S.C.
Active
Organization
SUBBANNA JAYAPRAKASH, M.D., S.C.
Active
Other names
Rehabilitation Physicians of Racine
Organization subpart
No
Provider details
NPI number
Authorized official
SUBBANNA JAYAPRAKASH M.D. (OWNER)
(262) 598-1001
Entity
Organization
Contact information
Practice address
6015 DURAND AVE, 500, RACINE, WI 53406-5089
(262) 598-1001
Mailing address
6015 DURAND AVE, 500, RACINE, WI 53406-5089
(262) 598-1001
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27676
WI
Other
Enumeration date
02/15/2006
Last updated
08/22/2020
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