Individual
DR. MICHAEL LLEWELLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH. D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-8340
(608) 263-0682
Mailing address
619 N SEGOE RD APT 215, MADISON, WI 53705-3156
(650) 862-8556
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
65136
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2011
Last updated
10/24/2017
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