Individual
ANATOLIY VELIKODANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
5300 W VILLARD AVE, MILWAUKEE, WI 53218-4345
(414) 438-6666
(414) 438-6667
Mailing address
5300 W VILLARD AVE, MILWAUKEE, WI 53218-4345
(414) 438-6666
(414) 438-6667
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
151683-30
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
3666-33
WI
Other
Enumeration date
04/09/2009
Last updated
08/09/2011
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