Individual
DR. VIPUL SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 744-6589
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 324-1806
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
48787-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100010321
—
WI
Enumeration date
10/26/2006
Last updated
10/19/2023
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