Individual
RITA GNYAWALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4267 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3527
(414) 873-3440
Mailing address
4267 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3527
(414) 873-3440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
57103-20
WI
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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