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Individual

DR. JITENDRA BARUAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, S.C.

Contact information

Practice address
3201 S 16TH ST, SUITE 200, MILWAUKEE, WI 53215-4537
(414) 384-5581
(414) 384-5644
Mailing address
3201 S 16TH ST, SUITE 200, MILWAUKEE, WI 53215-4537
(414) 384-5581
(414) 384-5644

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
22662-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30288000
WI
Enumeration date
12/27/2006
Last updated
02/12/2026
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