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Organization
CMM SUNDARAM MD SC
Active
Organization
CMM SUNDARAM MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CMM SUNDARAM MD (PRESIDENT)
(414) 933-9851
Entity
Organization
Contact information
Practice address
2600 N MAYFAIR RD, SUITE 670, WAUWATOSA, WI 53226-1309
(414) 933-9851
Mailing address
2600 N MAYFAIR RD, SUITE 670, WAUWATOSA, WI 53226-1309
(414) 933-9851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21941
WI
207RG0100X
Gastroenterology Physician
Primary
21941
WI
207RR0500X
Rheumatology Physician
21941
WI
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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