Individual
PANKAJ BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-6073
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
U8291
TX
207RR0500X
Rheumatology Physician
Primary
62236
WI
207RR0500X
Rheumatology Physician
ME154368
FL
207RR0500X
Rheumatology Physician
U8291
TX
Other
Enumeration date
04/02/2010
Last updated
08/13/2024
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