Individual
IKRAM UL HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.073023
IL
207R00000X
Internal Medicine Physician
Primary
82159
WI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
036155218
IL
Other
Enumeration date
05/04/2018
Last updated
07/24/2023
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