Individual
YEVGENIY VVEDENSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 720-2300
(920) 720-3719
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
125078525
IL
2084P0800X
Psychiatry Physician
Primary
85914
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125078525
PHYSICIAN LICENSE
IL
Enumeration date
06/15/2021
Last updated
07/10/2025
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