Individual
DHARAM P JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2311 N PROSPECT AVE, MILWAUKEE, WI 53211-4445
(414) 319-3000
Mailing address
402 W. LAKE ST, FRIENDSHIP, WI 53934-0040
(608) 339-3331
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21732
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30198800
—
WI
Enumeration date
11/06/2006
Last updated
10/09/2015
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