Individual
UMA THIRUMAKIZHMARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC, WAUKESHA, WI 53188-1135
(262) 549-3030
Mailing address
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC, WAUKESHA, WI 53188-1135
(262) 549-3030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30434
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33343200
—
WI
Enumeration date
02/20/2006
Last updated
04/13/2012
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