SURYA MEDICAL GROUP SC

KENOSHA, WI
NPI1043415631
Entity TypeOrganization
Authorized ContactGANESH N PULLA
Doctor
262-564-8636
Organization Subpart ?No
Primary Taxonomy207QG0300X Family Medicine, Geriatric Medicine
Additional Taxonomies207RN0300X Internal Medicine, Nephrology
Enumeration Date2007-06-15
Last Update Date2007-10-05
Business Address
SURYA MEDICAL GROUP SC
6125 GREEN BAY RD SUITE 100
KENOSHA, WI 53142-2928
Phone number: 262-564-8636
Mailing Address
SURYA MEDICAL GROUP SC
6125 GREEN BAY RD SUITE 100
KENOSHA, WI 53142-2928
Phone number: 262-564-8636