Individual
DR. ANITA M MAITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HOSPITAL BASED @ ST. JOSEPH HOSP., 5000 WEST CHAMBERS, MILWAUKEE, WI 53210
(414) 805-3666
Mailing address
5000 W CHAMBERS ST, HOSPITAL BASED @ ST. JOSEPH HOSP., MILWAUKEE, WI 53210-1650
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21287
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000125S
HUMANA
—
05
—
30234200
—
WI
Enumeration date
05/12/2006
Last updated
03/23/2009
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