SASIDHARAN PONTHENKANDATH

MILWAUKEE, WI
NPI1215132790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: WI  28183)
Enumeration Date2007-06-15
Last Update Date2007-07-09
Business Address
Dr. SASIDHARAN PONTHENKANDATH M.D.
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226-3518
Phone number: 414-805-3666
Mailing Address
Dr. SASIDHARAN PONTHENKANDATH M.D.
10000 W INNOVATION DR
MILWAUKEE, WI 53226-4837
Phone number: 414-456-5006