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Individual

DR. MADHU N GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2801 W KINNICKINNIC RIVER PKWY, #135, MILWAUKEE, WI 53215-3693
(414) 385-8600
(414) 385-8668
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125043241
IL
207R00000X
Internal Medicine Physician
Primary
45745
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34505800
WI
Enumeration date
08/20/2006
Last updated
04/29/2024
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