Ajit B Divgi MD

NPI 1568453223 - Internal Medicine - 207RH0003X

NPI Details
NPI 1568453223
Gender Male
Enumeration Date 11/02/2005
Last Updated 09/10/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
3200 PLEASANT VALLEY RD
KRAEMER CANCER CARE CENTER
WEST BEND WI, 53095-9274, US
Phone (262) 836-7200
Fax (262) 334-8484
Business Location
3200 PLEASANT VALLEY RD
KRAEMER CANCER CARE CENTER
WEST BEND WI, 53095-9274, US
Phone (262) 836-7200
Fax (262) 334-8484
Toxanomy
Taxonomy Code 207RH0003X
License State Wisconsin
License Number 21657
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According to our database, Ajit B Divgi MD NPI is 1568453223, taxonomy code is 207RH0003X and license number is 21657, license state is located at Wisconsin. Ajit B Divgi MD physically located at 3200 Pleasant Valley Rd, West Bend WI, 53095-9274. NPI Number Ajit B Divgi MD has the Individual type.

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1568453223 NPI number is provided on an as is basis without warranty of any kind. 1568453223 is maintained by the National Plan & Provider Enumeration System. The contents of Ajit B Divgi MD are for informational purposes only.