Individual
ASHWANI BHATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4500
Mailing address
PO BOX 28900, GREEN BAY, WI 54324-0900
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50137-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50137-020
LICENSE
WI
Enumeration date
06/04/2007
Last updated
11/23/2021
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