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1124068259
KANDAVAR GOPAL
MILWAUKEE, WI
NPI
1124068259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WI 21194)
Enumeration Date
2006-06-07
Last Update Date
2007-07-08
Business Address
-- KANDAVAR GOPAL MD
3200 S 20TH ST
MILWAUKEE, WI 53215-4442
Phone number: 414-389-3200
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Mailing Address
-- KANDAVAR GOPAL MD
3200 S 20TH ST
MILWAUKEE, WI 53215-4442
Phone number: 414-389-3200
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