Individual
DR. YESHWANT B RAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, MDS, MS
Contact information
Practice address
1801 W WISCONSIN AVE RM 322, MILWAUKEE, WI 53233-2186
(414) 288-5305
Mailing address
1801 W WISCONSIN AVE RM 322, MILWAUKEE, WI 53233-2186
(414) 288-5305
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
18391-875
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18391-875
THE STATE OF WISCONSIN, DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
10/27/2006
Last updated
02/17/2020
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