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1215132790
SASIDHARAN PONTHENKANDATH
MILWAUKEE, WI
NPI
1215132790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics Neonatal-Perinatal Medicine
(Licence: WI 28183)
Enumeration Date
2007-06-15
Last Update Date
2007-07-09
Business Address
DR. SASIDHARAN PONTHENKANDATH M.D.
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226-3518
Phone number: 414-805-3666
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Mailing Address
DR. SASIDHARAN PONTHENKANDATH M.D.
10000 W INNOVATION DR
MILWAUKEE, WI 53226-4837
Phone number: 414-456-5006
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