Individual
PRATIK JIVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-5400
(262) 928-6140
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-5400
(262) 928-6140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55672-20
WI
208M00000X
Hospitalist Physician
Primary
55672
WI
Other
Enumeration date
04/22/2011
Last updated
02/14/2024
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