Ujjwal Prasenjit Dutta, MD
Family Medicine in Milwaukee, WI. Individual provider (NPI-1).
NPI number1104734409
StatusActive
Last updated in NPPESAug 28, 2026
Details
- NPI
- 1104734409
- Entity type
- Individual (NPI-1)
- Name
- Ujjwal Prasenjit Dutta
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2026
- Certification date
- Aug 27, 2026
- Last updated
- Aug 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 102184851 | WI | Yes |
Practice location
8701 Watertown Plank RdMilwaukee, WI 53226-3548
Phone 414-502-1818
Mailing address
7300 W State StMilwaukee, WI 53213-2768
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