Organization
MICHAEL A. DIDION D.O.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANTHONY DIDION D.O. (PRESIDENT)
(262) 549-1462
Entity
Organization
Contact information
Practice address
3305 S 20TH ST, SUITE 150, MILWAUKEE, WI 53215-4940
(414) 384-2100
(414) 384-2700
Mailing address
311 MANDAN DR, WAUKESHA, WI 53188-4663
(262) 549-1462
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19384
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30032800
—
WI
Enumeration date
07/19/2010
Last updated
07/19/2010
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