Individual
ANJALI JAIN SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1215 GEORGE TOWNE DRIVE, PEWAUKEE, WI 53072-2731
(262) 691-3843
(262) 691-4287
Mailing address
9000 W WISCONSIN AVE, MAIL STATION 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49879-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497815757
—
WI
Enumeration date
12/09/2006
Last updated
09/18/2018
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