Individual
DHWANI A VAISHNAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2890 LINEVILLE RD, GREEN BAY, WI 54313-7202
(920) 662-2100
(920) 662-2101
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 662-2100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52579
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004308
—
WI
Enumeration date
05/15/2007
Last updated
10/17/2023
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