Organization
F TONDKAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARZANEH MASOOLTONDKAR M.D. (GENERAL PRACTICE)
(262) 751-7496
Entity
Organization
Contact information
Practice address
5310 W. CAPITAL DR. STE 102, MILWAUKEE, WI 53216-2264
(262) 751-7496
Mailing address
5310 W CAPITOL DR STE 102, MILWAUKEE, WI 53216-2264
(262) 751-7496
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
52372-020
WI
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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