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Individual

DR. HIMANSHU AGRAWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1155 N MAYFAIR RD, THIRD FLOOR, MILWAUKEE, WI 53226-3462
(414) 955-8990
(414) 955-6299
Mailing address
1155 N MAYFAIR RD, THIRD FLOOR, MILWAUKEE, WI 53226-3462
(414) 955-8990
(414) 955-6299

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
50879-020
WI
2084P0804X
Child & Adolescent Psychiatry Physician
47305
MN
2084P0804X
Child & Adolescent Psychiatry Physician
50879
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477747954
WI
Enumeration date
08/28/2007
Last updated
10/18/2016
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