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Individual

DR. PRAKADESHWARI RAJAPREYAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE, MILWAUKEE, WI 53226-4874
(414) 266-3360
(414) 266-3563
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE, MILWAUKEE, WI 53226-4874
(414) 266-3360
(414) 266-3563

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301096470
MI
208000000X
Pediatrics Physician
Primary
60071
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447565437
WI
Enumeration date
08/13/2010
Last updated
08/13/2013
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