Individual
DR. RENUKA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 649-3370
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301087203
MI
207RC0000X
Cardiovascular Disease Physician
4301087203
MI
207RC0000X
Cardiovascular Disease Physician
Primary
62331
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
4301087203
MI
207RC0001X
Clinical Cardiac Electrophysiology Physician
62331
WI
207RI0011X
Interventional Cardiology Physician
4301087203
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100020706
—
WI
Enumeration date
02/07/2007
Last updated
01/17/2025
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