Individual
DR. VIJAYASHREE P SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 SPRING ST, RACINE, WI 53405-1667
(262) 687-4011
Mailing address
3801 SPRING ST, RACINE, WI 53405-1667
(262) 687-4011
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
40641-020
WI
Other
Enumeration date
11/14/2006
Last updated
11/22/2021
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