Individual
DR. PANNA ASHOK CODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
42436
WI
2086S0102X
Surgical Critical Care Physician
48119
MN
2086S0102X
Surgical Critical Care Physician
88834
OH
2086S0102X
Surgical Critical Care Physician
A87596
CA
2086S0127X
Trauma Surgery Physician
42436
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356410898
—
WI
05
—
34687900
—
WI
Enumeration date
11/07/2006
Last updated
01/03/2024
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