Individual
SHEEBA A. MINHAS-PANNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2323 S 102ND ST, WEST ALLIS, WI 53227-2103
(414) 541-9900
Mailing address
PO BOX 241393, MILWAUKEE, WI 53224-9032
(414) 732-0790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47821
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34836000
—
WI
Enumeration date
05/17/2006
Last updated
09/28/2021
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