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Individual

DHANALAKSHMI S NAMASIVAYAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-114703
IL
207R00000X
Internal Medicine Physician
Primary
50690-20
WI
208M00000X
Hospitalist Physician
50690-20
WI

Other

Enumeration date
06/20/2007
Last updated
02/11/2013
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