Individual
DOMINIC THEODORE CARDELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 E ENTERPRISE AVE STE E, APPLETON, WI 54913-8557
(920) 968-5057
(920) 968-7248
Mailing address
2500 E ENTERPRISE AVE STE E, APPLETON, WI 54913-8557
(920) 968-5057
(920) 968-7248
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
33613
WI
2084N0400X
Neurology Physician
38127
MN
Other
Enumeration date
08/07/2006
Last updated
11/30/2010
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