Individual
DR. NAMITA DHIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 773-4312
Mailing address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 773-4312
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
0101254188
VA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
74152
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107240
—
WI
Enumeration date
12/04/2008
Last updated
11/30/2021
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