Milwaukee Medical Weight Loss & Medispa, Inc.
NPI #1659747194 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1659747194
- Entity Type
- Organization
- Organization Name
- Milwaukee Medical Weight Loss & Medispa, Inc.
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Aug 19, 2015
- Last Updated
- Aug 19, 2015
Practice Location
- Address
- 8575 W FOREST HOME AVE
- Address 2
- SUITE 170
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53228-3469
- Phone
- (414) 616-3535
Authorized Official
- Name
- SANDEEP RAMANUJAM, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (414) 616-3535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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