Individual
DR. PATRICK PAUL SANVANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISON OF GASTROENTEROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3000
(414) 955-6214
Mailing address
9200 W WISCONSIN AVE, DIVISON OF GASTROENTEROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3000
(414) 955-6214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56362-20
WI
207RG0100X
Gastroenterology Physician
Primary
56362
WI
Other
Enumeration date
06/25/2008
Last updated
07/07/2014
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