Individual
DR. JASDEEP SINGH SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
PO BOX 735041, CHICAGO, IL 60673-5041
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
54079-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100015964
—
WI
05
—
1740485440
—
WI
Enumeration date
06/20/2007
Last updated
02/26/2024
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