Individual
VIJAYA K MUNAGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
744 S WEBSTER AVE FL 2, GREEN BAY, WI 54301-3505
(920) 433-3640
(920) 433-3716
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-2789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45265
MN
207RC0000X
Cardiovascular Disease Physician
51851
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
4301073523
MI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
51851
WI
Other
Enumeration date
03/24/2006
Last updated
12/07/2021
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