Individual
SEAN M RONNEKLEIV-KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-7502
(608) 263-7652
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
54035
WI
2086X0206X
Surgical Oncology Physician
Primary
54035
WI
Other
Enumeration date
07/18/2008
Last updated
01/28/2021
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