Individual
DR. RAJESHWAR HANMIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
309 N BARTLETT ST, SHAWANO, WI 54166-2127
(715) 526-2111
(715) 526-9174
Mailing address
309 N BARTLETT ST, SHAWANO, WI 54166-2127
(715) 526-2111
(715) 526-9174
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
37374
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32192600
—
WI
Enumeration date
09/23/2006
Last updated
07/08/2007
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