Individual
DR. VANAJAKSHI MOGULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
62037-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2011
Last updated
10/08/2020
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