Individual
SNEHA SUBBARAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 DEERWOOD AVE, NEENAH, WI 54956-7110
(920) 727-9982
(920) 727-9983
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 727-9982
(920) 727-9983
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2018015283
MO
208000000X
Pediatrics Physician
Primary
73397
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2015
Last updated
11/03/2021
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