Organization · Type 2 NPI

Mysore Shivaram, Md, SC

Specialist · Franklin, WI

NPI number 1639355050 Active

Practice location

7400 W Rawson Ave, Suite 225
Franklin, WI 53132-8278

Call (414) 425-8232 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X22232 (WI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1639355050

Mysore Shivaram, Md, SC's National Provider Identifier is 1639355050, issued on Jan 16, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Franklin, WI. The record was last updated on Jan 14, 2013.