Organization
S&A RINGWALA, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDIP RINGWALA D.O. (OWNER)
(262) 657-4666
Entity
Organization
Contact information
Practice address
4906 39TH AVE, KENOSHA, WI 53144-2108
(262) 657-4666
Mailing address
4906 39TH AVE, KENOSHA, WI 53144-2108
(262) 657-4666
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
60091-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47529955
FIN
WI
Enumeration date
01/19/2016
Last updated
01/19/2016
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