Individual
DR. TODD ANDREW NEIDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, TRAUMA AND CRITICAL CARE SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Mailing address
9200 W WISCONSIN AVE, TRAUMA AND CRITICAL CARE SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
47078-20
WI
2086S0102X
Surgical Critical Care Physician
Primary
47078-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720172893
—
WI
Enumeration date
10/03/2006
Last updated
03/10/2025
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