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1144310475
KALLURU VIJAYABHANU
MILWAUKEE, WI
NPI
1144310475
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Former Name
MANIKONDA VIJAYARHANU
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: WI 37250)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
Dr. KALLURU VIJAYABHANU MD
5228 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Phone number: 414-536-2100
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Mailing Address
Dr. KALLURU VIJAYABHANU MD
8520 N GREENVALE RD
BAYSIDE, WI 53217
Phone number: 414-228-9446
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