Individual
SHANT HAROUTUN ADAMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-7427
(414) 219-6078
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-7427
(414) 219-6078
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0102207769
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
74811
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
03/08/2023
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