Individual
DR. ADITYA KUMAR RANGBULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1501 S MADISON ST, APPLETON, WI 54915-1846
(920) 730-4414
Mailing address
1501 S MADISON ST, APPLETON, WI 54915-1846
(920) 730-4414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54650
WI
Other
Enumeration date
07/25/2007
Last updated
05/07/2021
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