# WISCONSIN REHABILITATION MEDICINE PROFESSIONALS, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871665091
- **Authorized official:** SRIDHAR V VASUDEVAN M.D. (PRESIDENT)
- **Authorized official phone:** (262) 285-3888

## Contact information

- **Practice address:** 5200 LAKEVIEW RIDGE RD, BELGIUM, WI 53004-9423
- **Practice address phone:** (262) 285-3888
- **Mailing address:** PO BOX 1790, BROOKFIELD, WI 53008-1790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 11/24/2008