is a Pediatric Pulmonology in , . practices all healthcare services and medical treatments related to Pediatric Pulmonology. The NPI Number for is 1821040403. 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 | 1821040403 |
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Provider Mailing Address Detail
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| State | () |
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Provider's Primary Taxonomy Detail
| Speciality | Pediatric Pulmonology |
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| Taxonomy | 2080P0214X |
| Licence No | 58034 |
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Definition: A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 002000117B | HUMANA | ||
| 31596600 | WI | -- |
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