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Individual

THIM P NANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3255 TOWN CRIER CT, BROOKFIELD, WI 53005-3017
(262) 781-2872
(262) 781-2872
Mailing address
3255 TOWN CRIER CT, BROOKFIELD, WI 53005-3017
(262) 781-2872
(262) 781-2872

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
21954
WI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
21954-20
WI

Other

Enumeration date
05/05/2011
Last updated
05/05/2011
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