Individual provider · Type 1 NPI

Shivani Gundamraj, DO

Student in an Organized Health Care Education/Training Program · Wausau, WI

NPI number 1235983750 Active

Practice location

1100 Lake View Drive
Wausau, WI 54403

Call (715) 848-4600 Map

Mailing address

1900 Westwood Drive, Suite 3100
Wausau, WI 54401-4106

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235983750

Shivani Gundamraj, DO's National Provider Identifier is 1235983750, issued on Apr 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wausau, WI. The record was last updated on Apr 12, 2024.