Individual
ASHWIN UTTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
725 AMERICAN AVE RM 2036, PHC HOSPITALIST PROGRAM, WAUKESHA, WI 53188-5031
(262) 928-5400
Mailing address
725 AMERICAN AVE RM 2036, PHC HOSPITALIST PROGRAM, WAUKESHA, WI 53188-5031
(262) 928-5400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56297
WI
208M00000X
Hospitalist Physician
Primary
5629721
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891948089
—
WI
Enumeration date
10/31/2008
Last updated
05/08/2012
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