Individual
MEENA P VIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 PATRIOT DR, LITTLE CHUTE, WI 54140-1184
(920) 687-2800
(920) 687-2839
Mailing address
200 PATRIOT DR, LITTLE CHUTE, WI 54140-1184
(920) 687-2800
(920) 687-2839
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48203
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34681200
—
WI
Enumeration date
05/28/2006
Last updated
07/08/2007
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