Individual
RAMAKRISHNA P VENUGOPALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6148
(262) 767-6147
Mailing address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6148
(262) 767-6147
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
22143
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30307400
—
WI
Enumeration date
09/21/2005
Last updated
06/05/2008
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