Organization
GREATER MILWAUKEE CRITICAL CARE AND PULMONARY ASSOCIATES SC
Active
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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