Individual
MICHAEL ANTHONY DIDION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3305 S 20TH ST, SUITE 150, MILWAUKEE, WI 53215-4941
(414) 384-2100
(414) 384-2700
Mailing address
5916 NORTH GREEN BAY AVE, MILWAUKEE, WI 53209-3810
(262) 242-6105
(262) 242-5133
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19384
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30032800
—
WI
Enumeration date
05/21/2007
Last updated
12/05/2012
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