Individual
DR. LEENA VARKEY MARAMATTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
Mailing address
335 KRISTIN CT W, BROOKFIELD, WI 53045-3585
(414) 460-0037
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49221
WI
207RH0003X
Hematology & Oncology Physician
Primary
49221-20
WI
Other
Enumeration date
02/07/2007
Last updated
09/06/2012
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