DEEMANTHA GAYAN FERNANDO WIJEKULASOORIYAGE

MILWAUKEE, WI
NPI1780333567
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-21
Last Update Date2022-03-21
Business Address
DEEMANTHA GAYAN FERNANDO WIJEKULASOORIYAGE MD
945 N 12TH ST
MILWAUKEE, WI 53233-1305
Phone number: 414-219-5725
Mailing Address
DEEMANTHA GAYAN FERNANDO WIJEKULASOORIYAGE MD
945 N 12TH ST
MILWAUKEE, WI 53233-1305
Phone number: 414-219-5725