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Sujan Fernando
Diagnostic Radiology Physician in Milwaukee, Wisconsin
NPI 1023272200

Sujan Fernando is a Diagnostic Radiology Physician based in Milwaukee, WI and is specialized in Diagnostic Radiology. Sujan Fernando practices in Milwaukee, WI. The NPI Number for Sujan Fernando is 1023272200 and holds a License No. ME115385 (Wisconsin).

The current practice location address for Sujan Fernando is 9200 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-805-3750 and via fax at 414-259-9290.

Location: 9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023272200
Provider Name
Sujan Fernando
Credential
Provider Entity Type
Individual
Gender
Male
Address
9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Phone Number
414-805-3750
Fax Number
414-259-9290
Provider Enumeration Date
07/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008911900 05 FL
institution
Provider Business Practice Location Address Details
Address
9200 W Wisconsin Ave
City
Milwaukee
State
Wisconsin
Zip
53226-3522
Phone Number
414-805-3750
Fax Number
414-259-9290
person
Provider Business Mailing Address Details
Address
9200 W Wisconsin Ave
City
Milwaukee
State
Wisconsin
Zip
53226-3522
Phone Number
414-805-3750
Fax Number
414-259-9290
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME115385 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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