Individual
PRAGYA VIRENDRAKUMAR JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000
(262) 251-1000
Mailing address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000
(262) 251-1000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
76837
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174150494
—
WI
Enumeration date
03/25/2020
Last updated
05/29/2024
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