Individual
VENKATA UDAYAGIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 N GREEN BAY RD, NEENAH, WI 54956
(920) 729-6088
(920) 729-6484
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301109854
MI
207Q00000X
Family Medicine Physician
Primary
71496
WI
Other
Enumeration date
08/15/2016
Last updated
09/30/2019
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