Individual
SREE RAMYA PUNUKOLLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 UNION AVE, SHEBOYGAN, WI 53081-8426
(920) 802-2100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 802-2100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
67130
WI
208M00000X
Hospitalist Physician
Primary
67130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033525837
—
WI
Enumeration date
07/01/2014
Last updated
09/27/2023
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