Individual
DR. SANTOSH V YAJNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4400
(414) 805-4369
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4400
(414) 805-4369
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
036110269
IL
2085R0001X
Radiation Oncology Physician
Primary
82715
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110269
—
IL
05
—
1083605067
—
WI
01
—
558620
MEDICARE PROVIDER NUMBER
IL
01
—
778401
MEDICARE PROVIDER NUMBER
IL
Enumeration date
10/31/2005
Last updated
11/11/2024
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