Individual
PRAGNYADIPTA MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.168032
IL
207L00000X
Anesthesiology Physician
Primary
3847
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932423845
—
WI
Enumeration date
03/22/2010
Last updated
04/03/2025
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