Individual
DR. HARIHARAN SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
959 N MAYFAIR RD, MCW PAIN MANAGEMENT CENTER, MILWAUKEE, WI 53226-3465
(414) 955-7601
(414) 955-6020
Mailing address
959 N MAYFAIR RD, MCW PAIN MANAGEMENT CENTER, MILWAUKEE, WI 53226-3465
(414) 955-7601
(414) 955-6020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
44813
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
44813
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275585028
—
WI
Enumeration date
05/17/2006
Last updated
10/08/2014
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