CHANNAGATTA R TRIYAMBAKARAJ

MILWAUKEE, WI
NPI1578642856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WI  19733)
Enumeration Date2006-11-06
Last Update Date2012-06-12
Business Address
-- CHANNAGATTA R TRIYAMBAKARAJ MD
2311 N PROSPECT AVE
MILWAUKEE, WI 53211-4445
Phone number: 414-319-3000
Mailing Address
-- CHANNAGATTA R TRIYAMBAKARAJ MD
4425 N PORT WASHINGTON RD ATTN: CLINIC CREDENTIALING
GLENDALE, WI 53212-1082
Phone number: 414-319-3000
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