Individual
PRADEEP JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46599
WI
207R00000X
Internal Medicine Physician
63688
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34501000
—
WI
Enumeration date
08/28/2006
Last updated
03/11/2021
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