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Individual

DR. SHEKHAR A DAGAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2801 W KINNICKINNIC RIVER PARKWAY, SUITE 550, MILWAUKEE, WI 53215
(414) 385-7150
(414) 385-7159
Mailing address
2801 W KINNICKINNIC RIVER PARKWAY, SUITE 550, MILWAUKEE, WI 53215
(414) 385-7150
(414) 385-7159

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
43514-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34412200
WI
Enumeration date
05/16/2006
Last updated
07/13/2011
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