Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 60483-20 | WI |
NPI | 1033420922 |
---|---|
Provider Name | Dr. Suraj Arora |
First Address | Green Bay, WI 54311-6519 |
Second Address | Green Bay, WI 54311-6519 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2010 |
Last Update Date | 08/12/2021 |