Individual
OLENA IGORIVNA KLINDUKHOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6550
(414) 805-6565
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6550
(414) 805-6565
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
66515
GA
207R00000X
Internal Medicine Physician
01085352A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01085352A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
83846
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100280890
—
WI
Enumeration date
03/23/2009
Last updated
08/01/2024
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