Organization
GREATER MILWAUKEE CRITICAL CARE AND PULMONARY ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAKESH WAGHRAY MD (OFFICER)
(414) 840-0198
Entity
Organization
Contact information
Practice address
3201 S 16TH ST, 2015, MILWAUKEE, WI 53215-4537
(414) 840-0198
Mailing address
PO BOX 070520, MILWAUKEE, WI 53207-0520
(414) 840-0198
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
45393
WI
207RP1001X
Pulmonary Disease Physician
39828
WI
Other
Enumeration date
05/28/2008
Last updated
07/24/2015
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