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Kandavar Gopal, MD Valid NPI

Individual provider · Physical Medicine & Rehabilitation Physician · Milwaukee, WI

NPI
1124068259
Type
Individual (Type 1)
Primary specialty
Physical Medicine & Rehabilitation Physician (Physical Medicine & Rehabilitation)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
208100000X
License number
21194 (WI)
Sex
Male
Sole proprietor
No
Enumerated
2006-06-07
Last updated
2007-07-08
Practice location
3200 S 20th St
Milwaukee, WI 53215-4442
(414) 389-3200

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