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SUDEEPTA DANDAPAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2801 W KINNICKINNIC RIVER PKWY STE 680, MILWAUKEE, WI 53215-3633
(414) 385-1922
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2377

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
73474
WI
2084N0400X
Neurology Physician
MD-42391
IA
2084V0102X
Vascular Neurology Physician
036-168369
IL
2084V0102X
Vascular Neurology Physician
MD-42391
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100100067
WI
Enumeration date
07/13/2011
Last updated
12/03/2024
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