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Individual

MANISH KRISHNA PANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2801 W KK RIVER PKWY, SUITE 930, MILWAUKEE, WI 53215-3669
(414) 384-5111
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
64849
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100049603
WI
Enumeration date
06/14/2009
Last updated
12/11/2024
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