Individual
JAGDISH S DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 S WALNUT ST, APPLETON, WI 54911-5920
(920) 832-5270
(920) 832-5488
Mailing address
410 S WALNUT ST, APPLETON, WI 54911-5920
(920) 832-5270
(920) 832-5488
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33158
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31991800
—
WI
Enumeration date
12/28/2006
Last updated
03/07/2023
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