Individual
ANSHUL B. BAMROLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6871
(608) 756-6836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-109628
IL
207RH0003X
Hematology & Oncology Physician
036-109628
IL
207RH0003X
Hematology & Oncology Physician
Primary
28-320
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MULTI SPECIALTY GROUP PTAN
IL
Enumeration date
12/13/2006
Last updated
12/07/2021
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