Individual
ARVIND G PHANSALKAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10425 W NORTH AVE, MILWAUKEE, WI 53226-2416
(414) 771-6999
(414) 771-0366
Mailing address
10425 W NORTH AVE, MILWAUKEE, WI 53226-2416
(414) 771-6999
(414) 771-0366
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20635
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1507835
RAILROAD MEDICARE
WI
05
—
30258000
—
WI
Enumeration date
05/20/2006
Last updated
07/08/2007
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