Individual
AMOG JAYARANGAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N OAK AVE # RL1, MARSHFIELD, WI 54449-5703
(715) 387-5343
Mailing address
2424 N PEACH AVE APT 6, MARSHFIELD, WI 54449-8361
(917) 903-6254
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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