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1679620918
GANESH N PULLA
KENOSHA, WI
NPI
1679620918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: WI 40695)
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
-- GANESH N PULLA M.D
6125 GREEN BAY RD 100
KENOSHA, WI 53142-2928
Phone number: 262-564-8636
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Mailing Address
-- GANESH N PULLA M.D
6125 GREEN BAY RD 100
KENOSHA, WI 53142-2928
Phone number: 262-564-8636
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