Individual
GUNMEET KAUR KALEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2005 MIDWAY RD, MENASHA, WI 54952-7002
(920) 832-8500
(920) 993-2919
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50967
WI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
4301088320
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
450030597
MEDICARE PTAN
WI
Enumeration date
04/13/2007
Last updated
03/06/2012
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