Individual
SHAIMA SULEMANKHIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
730 10TH AVE., BALDWIN, WI 54002
(715) 684-3311
(715) 684-4757
Mailing address
730 10TH AVE., BALDWIN, WI 54002
(715) 684-3311
(715) 684-4757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48935
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34829400
—
WI
Enumeration date
06/15/2006
Last updated
03/11/2016
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