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Individual

DR. SURESH R NAIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3535 30TH AVENUE, #207 SURESH R NAIK MD SC, KENOSHA, WI 53144
(262) 658-1618
(262) 654-4562
Mailing address
3535 30TH AVENUE, SUITE #207 SURESH R NAIK MD SC, KENOSHA, WI 53144
(262) 658-1618
(262) 654-4562

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20553
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31103000
WI
Enumeration date
01/03/2007
Last updated
08/08/2012
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