is a Pediatric Infectious Diseases in , . practices all healthcare services and medical treatments related to Pediatric Infectious Diseases. The NPI Number for is 1720030216. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1720030216 |
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Provider Mailing Address Detail
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| State | () |
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Provider's Primary Taxonomy Detail
| Speciality | Pediatric Infectious Diseases |
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| Taxonomy | 2080P0208X |
| Licence No | 46350 |
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Definition: A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying disea |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1720030216 | WI | -- | |
| 000011354K | HUMANA |
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