Individual
RENJU VECHURETTU RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES HOSPITALIST, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-6805
Mailing address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES HOSPITALIST, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-6805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40893
IA
207RH0003X
Hematology & Oncology Physician
Primary
62630
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083961528
—
WI
Enumeration date
08/14/2012
Last updated
09/11/2014
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