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Individual

VIRAJ V DUDHWALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
725 AMERICAN AVE, ROOM 2036 PROHEALTH CARE MEDICAL ASSOCIATES INC, WAUKESHA, WI 53188-5031
(262) 928-5400
(262) 928-6140
Mailing address
725 AMERICAN AVE, ROOM 2036, WAUKESHA, WI 53188-5031
(262) 928-5400
(262) 928-6140

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56024
WI
208M00000X
Hospitalist Physician
Primary
56024-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346413861
WI
Enumeration date
04/04/2008
Last updated
12/08/2021
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