Individual
DR. MICHAEL E WIDLANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 WEST WISCONSIN AVENUE, 5TH FLOOR, SECTION OF CARDIOLOGY, WAUWATOSA, WI 53226-3522
(414) 456-6716
(414) 456-6203
Mailing address
9200 WEST WISCONSIN AVENUE, 5TH FLOOR, SECTION OF CARDIOLOGY, WAUWATOSA, WI 53226-3522
(414) 456-6716
(414) 456-6203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
212680
MA
207RC0000X
Cardiovascular Disease Physician
Primary
50715
WI
Other
Enumeration date
08/22/2006
Last updated
08/06/2007
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