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Individual

KASRA A MILANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 929-2300
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
48648
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34805800
WI
Enumeration date
03/31/2006
Last updated
12/14/2020
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