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Individual

INDERMOHAN S THETHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6100
Mailing address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125048863
IL

Other

Enumeration date
06/04/2007
Last updated
01/02/2013
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