Individual
SRIDHAR V. VASUDEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
W129N7055 NORTHFIELD DR, PHYSICAL MEDICINE AND REHABILITATION, MENOMONEE FALLS, WI 53051-0538
(262) 253-5400
(262) 253-7162
Mailing address
W129N7055 NORTHFIELD DR, PHYSICAL MEDICINE AND REHABILITATION, MENOMONEE FALLS, WI 53051-0538
(262) 253-5400
(262) 253-7162
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20559
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528014651
—
WI
Enumeration date
05/26/2006
Last updated
09/06/2013
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