Individual
SIDDHANTH AHLUWALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-4200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125.073242
IL
207L00000X
Anesthesiology Physician
Primary
84576-20
WI
207L00000X
Anesthesiology Physician
MD-47850
IA
390200000X
Student in an Organized Health Care Education/Training Program
4301112146
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100290609
—
WI
Enumeration date
07/14/2017
Last updated
11/25/2024
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