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Individual
FARZANEH MASOOL TONDKAR
Active
Individual
FARZANEH MASOOL TONDKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
52372020
WI
208D00000X
General Practice Physician
52372020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1434
—
WI
Enumeration date
01/09/2009
Last updated
10/03/2023
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