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Hind Mirza Gautam, MD
Interventional Pain Medicine Physician in De Pere, Wisconsin
NPI 1316950504

Hind Mirza Gautam is a Interventional Pain Medicine Physician based in Chicago, WI and is specialized in Interventional Pain Medicine. Hind Mirza Gautam practices in De Pere, WI and has the professional credentials of MD. The NPI Number for Hind Mirza Gautam is 1316950504 and holds a License No. 49944 (Wisconsin).

The current practice location address for Hind Mirza Gautam is 1881 Chicago St, De Pere, WI and can be reached out via phone at 920-403-8000.

Location: 1881 Chicago St, De Pere, WI, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316950504
Provider Name
Hind Mirza Gautam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1881 Chicago St, De Pere, WI, 60673-5044
Phone Number
920-403-8000
Fax Number
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34748200 05 WI
institution
Provider Business Practice Location Address Details
Address
1881 Chicago St
City
De Pere
State
Wisconsin
Zip
54115-3770
Phone Number
920-403-8000
Fax Number
person
Provider Business Mailing Address Details
Address
1881 Chicago St
City
De Pere
State
Wisconsin
Zip
54115-3770
Phone Number
920-403-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
49944 (Wisconsin)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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