Individual
MR. PRIYANKAR DE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 266-3347
Mailing address
1248 N 68TH ST, MILWAUKEE, WI 53213-2899
(612) 457-6655
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
1423-61
WI
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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