Individual
DR. KSENIJA MODRIC JEDNACAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6726 CEDAR ST, WAUWATOSA, WI 53213-3254
(414) 774-4074
(414) 774-0471
Mailing address
6726 CEDAR ST, WAUWATOSA, WI 53213-3254
(414) 774-4074
(414) 774-0471
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
47908-020
WI
Other
Enumeration date
11/12/2006
Last updated
02/06/2014
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