Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 61806-20 | WI |
NPI | 1518159599 |
---|---|
Provider Name | Anand D Patel |
First Address | Brookfield, WI 53045-2742 |
Second Address | Brookfield, WI 53045-2742 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2007 |
Last Update Date | 09/11/2016 |