Individual
POOJA SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702
(715) 221-6100
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
81747
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD475899
PA
Other
Enumeration date
07/16/2018
Last updated
02/16/2024
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