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Individual

DR. SUSHMA GUNTURU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2640 W POINT RD, ATTN: CREDENTIAL SPECIALIST, GREEN BAY, WI 54304-1344
(920) 490-3790
(920) 490-3858
Mailing address
PO BOX 365, ATTN: CREDENTIALING SPECIALIST, ONEIDA, WI 54155-0365
(920) 869-2711

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
4301103402
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
697-320
WI

Other

Enumeration date
01/25/2010
Last updated
10/30/2025
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