Individual
JYOTHI VEERAMACHANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1218 W KILBOURN AVE STE 124, MILWAUKEE, WI 53233-1325
(414) 935-8000
(414) 220-5184
Mailing address
PO BOX 80257, MILWAUKEE, WI 53208-8004
(414) 935-8000
(414) 287-0907
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1798-850
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35332400
—
WI
Enumeration date
01/23/2007
Last updated
01/25/2019
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