Organization
RAJASHRI S MANOLI M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJASHRI S MANOLI M.D. (OWNER)
(414) 463-9100
Entity
Organization
Contact information
Practice address
8500 W CAPITOL DR, MILWAUKEE, WI 53222-1869
(414) 463-9100
Mailing address
8500 W CAPITOL DR, MILWAUKEE, WI 53222-1869
(414) 463-9100
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
20521-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30102500
—
WI
Enumeration date
03/06/2007
Last updated
08/22/2020
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