PRADEEP BANGALORE PRAKASH

GREEN BAY, WI
NPI1831514900
Other NamePRADEEP B P
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: WI  72580-20)
Additional Taxonomies2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: IA  MD-41570)
208000000X Pediatrics
(Licence: IA  MD-41570)
Enumeration Date2014-02-26
Last Update Date2023-02-21
Business Address
PRADEEP BANGALORE PRAKASH MD
835 S VAN BUREN ST
GREEN BAY, WI 54301-3526
Phone number: 920-496-4700
Mailing Address
PRADEEP BANGALORE PRAKASH MD
835 S VAN BUREN ST
GREEN BAY, WI 54301-3526
Phone number: 920-496-4700