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Individual
IVANA SURJANCEV
Active
Individual
IVANA SURJANCEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
77218
WI
207R00000X
Internal Medicine Physician
77218-20
WI
Other
Enumeration date
04/02/2020
Last updated
09/05/2025
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