Organization
NEUROLOGY-NEURODIAGNOSTIC CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THULASIRAMAN P RAVICHANDRAN MD (PRESIDENT)
(414) 382-8960
Entity
Organization
Contact information
Practice address
2025 W OKLAHOMA AVE, SUITE 120, MILWAUKEE, WI 53215-4455
(414) 382-8960
(414) 382-8975
Mailing address
2025 W OKLAHOMA AVE, SUITE 120, MILWAUKEE, WI 53215-4455
(414) 382-8960
(414) 382-8975
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/24/2006
Last updated
09/07/2007
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