Individual
GRAHAM SAMUEL ADSIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6777
(414) 955-6203
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6777
(414) 955-6203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55837-20
WI
207RC0000X
Cardiovascular Disease Physician
55837
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
55837
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033343892
—
WI
Enumeration date
05/08/2009
Last updated
09/11/2019
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