SRIDHAR VALLABHANENI

MILWAUKEE, WI
NPI1164740122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: WI  72134)
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
(Licence: IN  01074949A)
208100000X Physical Medicine & Rehabilitation
(Licence: IL  036.137251)
Enumeration Date2010-05-14
Last Update Date2021-11-30
Business Address
SRIDHAR VALLABHANENI M.D.
2901 W KINNICKINNIC RIVER PKWY STE 310
MILWAUKEE, WI 53215-5643
Phone number: 414-649-3300
Mailing Address
SRIDHAR VALLABHANENI M.D.
3301 W FOREST HOME AVE
MILWAUKEE, WI 53215-2843
Phone number: 414-649-3300