Individual
GUIRISH A AGNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 CHURCH ST, DEAN MEDICAL CENTER, STOUGHTON, WI 53589-1801
(608) 877-2700
(608) 877-2726
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 250-1497
(608) 250-1384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36272-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32132000
—
WI
01
—
4712
DEAN HEALTH INSURANCE
WI
Enumeration date
05/20/2006
Last updated
10/27/2020
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