Individual
DR. AJAY R WADHWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DR
Contact information
Practice address
229 E WISCONSIN AVE, SUITE 600, MILWAUKEE, WI 53202-4230
(414) 224-3737
Mailing address
229 E WISCONSIN AVE, SUITE 600, MILWAUKEE, WI 53202-4230
(414) 224-3737
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2851-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43705900
—
WI
Enumeration date
11/29/2006
Last updated
08/26/2016
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