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Organization

EASTSIDE CRITICAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAKESH WAGHRAY MD (OWNER)
(414) 840-0198
Entity
Organization

Contact information

Practice address
3201 S 16TH ST, MILWAUKEE, WI 53215-4537
(414) 647-3995
Mailing address
PO BOX 166, GRAFTON, WI 53024-0166

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Enumeration date
08/17/2026
Last updated
08/17/2026
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