Individual
DR. DEBESH CHANDRA MAZUMDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1575 N RIVERCENTER DR, SUITE 104, MILWAUKEE, WI 53212-3978
(414) 274-7520
(414) 274-7525
Mailing address
1575 N RIVERCENTER DR, SUITE 104, MILWAUKEE, WI 53212-3978
(414) 274-7520
(414) 274-7525
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
22721-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302-86-900
—
WI
Enumeration date
11/29/2005
Last updated
07/08/2007
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