Dr Shirley Y Godiwalla, MD | |
W283n3671 Yorkshire Trce, Pewaukee, WI 53072-3311 | |
(262) 695-3052 | |
Not Available |
Full Name | Dr Shirley Y Godiwalla |
---|---|
Gender | Female |
Speciality | General Practice |
Location | W283n3671 Yorkshire Trce, Pewaukee, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518929611 | NPI | - | NPPES |
340012140 | Other | RR MEDICARE | |
31392600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 26973 (Wisconsin) | Secondary |
208D00000X | General Practice | 2697320 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Shirley Y Godiwalla, MD W283n3671 Yorkshire Trce, Pewaukee, WI 53072-3311 Ph: (262) 695-3052 | Dr Shirley Y Godiwalla, MD W283n3671 Yorkshire Trce, Pewaukee, WI 53072-3311 Ph: (262) 695-3052 |
Dr. Steven Mather Kotsonis, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1109 Cecelia Dr, Pewaukee, WI 53072 Phone: 262-373-6733 Fax: 262-373-6018 |