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Individual

AMUL MANILAL SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1061 E COMMERCE BLVD, SLINGER, WI 53086-9326
(262) 644-2900
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
55668
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100034246
WI
Enumeration date
03/31/2009
Last updated
12/08/2023
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