Individual
DR. ADITYA VEDANTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5400
(414) 955-0115
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5400
(414) 955-0115
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
75250
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851730261
—
WI
Enumeration date
06/19/2013
Last updated
06/28/2021
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