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Individual

SEAN D VEENENDAAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
9000 W WISCONSIN AVE, PEDIATRIC ORTHOPAEDIC SURGERY, MILWAUKEE, WI 53226-4874
(414) 337-7300
(414) 337-7337
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC ORTHOPAEDIC SURGERY, MILWAUKEE, WI 53226-4874
(414) 337-7300
(414) 337-7337

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2847
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316220221
WI
Enumeration date
09/27/2011
Last updated
02/10/2014
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