Individual
MS. ARCHNA ENIASIVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226
(414) 456-4575
Mailing address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 456-4575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A136397
CA
Other
Enumeration date
04/22/2011
Last updated
06/27/2018
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