Mysore Shivaram, Md, Sc

NPI #1639355050 in Franklin, Wisconsin

Provider Information

NPI Number
1639355050
Entity Type
Organization
Organization Name
Mysore Shivaram, Md, Sc
Primary Specialty
Specialist
Enumeration Date
Jan 16, 2008
Last Updated
Jan 14, 2013

Practice Location

Address
7400 W RAWSON AVE
Address 2
SUITE 225
ZIP Code
53132-8278
Phone
(414) 425-8232

Authorized Official

Name
DR. MYSORE S SHIVARAM, M.D.
Title
PROPRIETOR
Phone
(414) 425-8232

Specialties & Taxonomy Codes

Specialty
Specialist

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