Individual
JOHN C CHERUKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 305, MILWAUKEE, WI 53215
(414) 649-6000
(317) 870-0499
Mailing address
2901 W KINNICKINNIC RIVER PKWY STE 305, MILWAUKEE, WI 53215-3660
(414) 649-6000
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01042500
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100084246
—
WI
05
—
100384160
—
IN
Enumeration date
10/25/2005
Last updated
11/30/2021
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