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Individual

DR. SHANTILAL K GANDHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
HOSPITAL BASED @ FROEDTERT HOSP., 9200 WEST WISCONSIN AVENUE, MILWAUKEE, WI 53226
(414) 805-3666
Mailing address
9200 W WISCONSIN AVE, HOSPITAL BASED @ FROEDTERT HOSP., MILWAUKEE, WI 53226-3522

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16675
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31211600
WI
Enumeration date
05/16/2006
Last updated
11/12/2007
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