Individual
MS. ELISABETH A ANUMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-1000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-128171
IL
207Q00000X
Family Medicine Physician
56124
WI
390200000X
Student in an Organized Health Care Education/Training Program
125054359
IL
Other
Enumeration date
09/09/2008
Last updated
12/16/2020
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