Organization
ADVANCED WOUND CARE SOLUTIONS LLC
Active
Other names
Advanced Wound Care Solutions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADHAKRISHNA JANARDHAN MD (CEO/MANAGER)
(314) 560-7057
Entity
Organization
Contact information
Practice address
10101 W WISCONSIN AVE, WAUWATOSA, WI 53226-4861
(314) 560-7057
Mailing address
301 S BEDFORD ST STE 1, MADISON, WI 53703-3691
(314) 560-7057
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
56746-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100021975
—
WI
Enumeration date
04/09/2018
Last updated
04/09/2018
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