Individual
VINAY SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
704 S CLARK ST, THORP, WI 54771-7624
(715) 669-7279
Mailing address
704 S CLARK ST, THORP, WI 54771-7624
(715) 669-7279
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53412
WI
Other
Enumeration date
06/26/2008
Last updated
07/06/2011
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