Individual
ALLAN VANNOSTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
945 N 12TH ST, STE E360, MILWAUKEE, WI 53233-1305
(414) 219-7226
Mailing address
945 N 12TH ST, STE E360, MILWAUKEE, WI 53233-1305
(414) 219-7226
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24434
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30793200
—
WI
Enumeration date
07/26/2006
Last updated
01/02/2013
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