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Dr. Shirley Y Godiwalla, MD
General Practice Physician in Pewaukee, Wisconsin
NPI 1518929611

Shirley Y Godiwalla is a General Practice Physician based in Pewaukee, WI. Shirley Y Godiwalla practices in Pewaukee, WI and has the professional credentials of MD. The NPI Number for Shirley Y Godiwalla is 1518929611 and holds a License No. 26973 (Wisconsin).

The current practice location address for Shirley Y Godiwalla is W283N3671 Yorkshire Trce, Pewaukee, WI and can be reached out via phone at 262-695-3052.

Location: W283N3671 Yorkshire Trce, Pewaukee, WI, 53072-3311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518929611
Provider Name
Shirley Y Godiwalla
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
W283N3671 Yorkshire Trce, Pewaukee, WI, 53072-3311
Phone Number
262-695-3052
Fax Number
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340012140 01 RR MEDICARE
31392600 05 WI
institution
Provider Business Practice Location Address Details
Address
W283N3671 Yorkshire Trce
City
Pewaukee
State
Wisconsin
Zip
53072-3311
Phone Number
262-695-3052
Fax Number
person
Provider Business Mailing Address Details
Address
W283N3671 Yorkshire Trce
City
Pewaukee
State
Wisconsin
Zip
53072-3311
Phone Number
262-695-3052
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
2697320 (Wisconsin)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
26973 (Wisconsin)
Definition
Definition to come...
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