Individual
SANTOSH N KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, #525, MILWAUKEE, WI 53215-3669
(414) 649-3920
Mailing address
2801 W KINNICKINNIC RIVER PKWY, #525, MILWAUKEE, WI 53215-3669
(414) 649-3920
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
47167
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34563600
—
WI
01
—
P00323107
RR MEDICARE
—
Enumeration date
05/17/2006
Last updated
10/31/2011
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