CHAITANYA PANT

GREEN BAY, WI
NPI1639389984
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: WI  67374-020)
Additional Taxonomies207RG0100X Internal Medicine, Gastroenterology
(Licence: KS  04-36304)
Enumeration Date2007-05-23
Last Update Date2018-03-17
Business Address
-- CHAITANYA PANT M.D.
1726 SHAWANO AVE
GREEN BAY, WI 54303-3216
Phone number: 920-496-4700
Mailing Address
-- CHAITANYA PANT M.D.
PREVEA HEALTH PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700