Individual
BHARAT MEENAVALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2321 STOUT RD, MENOMONIE, WI 54751
(715) 235-9671
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
72156
WI
Other
Enumeration date
06/09/2015
Last updated
01/25/2024
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