Individual
DR. PHILIP N REDLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, GENERAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5800
(414) 805-5934
Mailing address
9200 W WISCONSIN AVE, GENERAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5800
(414) 805-5934
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26460
WI
2086X0206X
Surgical Oncology Physician
26460
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000130X
HUMANA
—
05
—
1548211014
—
WI
Enumeration date
05/12/2006
Last updated
12/11/2019
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