Individual
DIVYANSHU MOHANANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6989
(414) 955-6203
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6989
(414) 955-6203
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
68742
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356782783
—
WI
Enumeration date
07/14/2013
Last updated
08/30/2021
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