Individual
DR. AJEET SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(844) 276-5853
(262) 439-7674
Mailing address
BIN 88263, MILWAUKEE, WI 53288-0001
(262) 787-4405
(262) 439-7683
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
48051-020
WI
208VP0014X
Interventional Pain Medicine Physician
48051-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34685200
—
WI
Enumeration date
11/28/2006
Last updated
12/22/2021
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