Individual
JOSHUA E MEDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, NEUROCRITICAL CARE, MILWAUKEE, WI 53226-3522
(414) 805-8710
(414) 805-1101
Mailing address
9200 W WISCONSIN AVE, NEUROCRITICAL CARE, MILWAUKEE, WI 53226-3522
(414) 805-8710
(414) 805-1101
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
42477
WI
2084A2900X
Neurocritical Care Physician
42477
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023073400
—
WI
Enumeration date
04/19/2006
Last updated
10/04/2023
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