Individual
ANUSHKA BARUAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 459-1452
Mailing address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125065053
IL
207RG0100X
Gastroenterology Physician
Primary
67037-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100068631
—
WI
Enumeration date
06/27/2014
Last updated
11/22/2021
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