Individual
DR. CHAKSAU SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4600 W LOOMIS RD STE 130, GREENFIELD, WI 53220-4858
(414) 389-4900
Mailing address
4600 W LOOMIS RD STE 130, GREENFIELD, WI 53220-4858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LT15432
ND
207Q00000X
Family Medicine Physician
RL13735
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12083
—
ND
Enumeration date
07/08/2015
Last updated
08/09/2019
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