Individual
VANESSA MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
9000 W WISCONSIN AVENUE, DEPT OF PEDIATRICS, MILWAUKEE, WI 53226-4874
(414) 607-5280
Mailing address
9000 W WISCONSIN AVENUE, DEPT OF PEDIATRICS, MILWAUKEE, WI 53226-4874
(414) 607-5280
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
64541
WI
2080A0000X
Pediatric Adolescent Medicine Physician
64541
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992123830
—
WI
Enumeration date
03/28/2014
Last updated
07/21/2022
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