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Individual

SIRISHA GUDLAWAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-8296
Mailing address
7877 W OAKWOOD WAY, FRANKLIN, WI 53132-3500
(734) 635-9406

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
77810-20
WI
207RN0300X
Nephrology Physician
Primary
77810-20
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/01/2019
Last updated
11/22/2024
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