Individual
SISIR SIDDAMSETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(920) 400-9797
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(920) 400-9797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125066643
IL
207RC0000X
Cardiovascular Disease Physician
Primary
2024033499
MO
208M00000X
Hospitalist Physician
PENDING
KS
Other
Enumeration date
07/20/2015
Last updated
09/18/2024
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