Organization
MILWAUKEE MEDICAL WEIGHT LOSS & MEDISPA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEEP RAMANUJAM M.D. (MEDICAL DIRECTOR)
(414) 616-3535
Entity
Organization
Contact information
Practice address
8575 W FOREST HOME AVE, SUITE 170, GREENFIELD, WI 53228-3469
(414) 616-3535
(414) 427-6338
Mailing address
8575 W FOREST HOME AVE, SUITE 170, GREENFIELD, WI 53228-3469
(414) 616-3535
(414) 427-6338
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6307-33
WI
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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