Organization
JATRA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIDHWI MUKERJI MD (OWNER)
(913) 406-1433
Entity
Organization
Contact information
Practice address
410 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4715
(715) 422-7755
Mailing address
1771 RIVER OAKS CT, KRONENWETTER, WI 54455-7928
(913) 406-1433
(715) 845-5647
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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