Individual
VINU MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5000 W CHAMBERS ST, ST JOSEPH TY PROGRAM, MILWAUKEE, WI 53210-1650
(414) 447-2000
Mailing address
5000 WEST CHAMBERS STREET, ST JOSEPH TY PROGRAM, MILWAUKEE, WI 53210
(414) 447-2000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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