Organization
SHEKHAR A DAGAM MD NEUROLOGICAL SURGERY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEKHAR A DAGAM MD (OWNER)
(414) 385-7150
Entity
Organization
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, #201, MILWAUKEE, WI 53215-3677
(414) 385-7150
(414) 385-7159
Mailing address
PO BOX 78082, MILWAUKEE, WI 53278-0082
(414) 385-7150
(414) 385-7159
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4351420
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34412200
—
WI
Enumeration date
05/18/2006
Last updated
01/30/2017
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