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Organization
ADVANCED EAR NOSE & THROAT SPECIALISTS, SC
Active
Organization
ADVANCED EAR NOSE & THROAT SPECIALISTS, SC
Active
Other names
ADVENT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADAN N KANDULA MD (CEO)
(888) 938-3838
Entity
Organization
Contact information
Practice address
2885 N MAYFAIR RD, WAUWATOSA, WI 53222-4404
(888) 938-3838
(888) 919-1083
Mailing address
10001 W INNOVATION DR STE 200, MILWAUKEE, WI 53226-4851
(888) 938-3838
(888) 919-1083
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
44930 020
WI
231H00000X
Audiologist
434 156
WI
Other
Enumeration date
08/29/2006
Last updated
10/15/2026
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