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Individual

MR. WESLEY M LADWIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2500 N MAYFAIR RD, SUITE #500, WAUWATOSA, WI 53226-1409
(414) 257-2525
(414) 257-1772
Mailing address
2500 N MAYFAIR RD, SUITE #500, WAUWATOSA, WI 53226-1409
(414) 257-2525
(414) 257-1772

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3190-23
WI

Other

Enumeration date
08/27/2013
Last updated
08/27/2013
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