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Organization
ASSOCIATES IN GASTROENTEROLOGY SC
Active
Organization
ASSOCIATES IN GASTROENTEROLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADEEM SIDDIQUI M.D. (PRESIDENT)
(920) 738-7300
Entity
Organization
Contact information
Practice address
2700 E ENTERPRISE AVE, UNIT C, APPLETON, WI 54913-7890
(920) 738-7300
(920) 738-7301
Mailing address
2700 E ENTERPRISE AVE, UNIT C, APPLETON, WI 54913-7890
(920) 738-7300
(920) 738-7301
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
07/30/2006
Last updated
07/29/2009
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