person
Deemantha Gayan Fernando Wijekulasooriyage, MD
Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin
NPI 1780333567

Deemantha Gayan Fernando Wijekulasooriyage is a Student in an Organized Health Care Education/Training Program based in Milwaukee, WI. Deemantha Gayan Fernando Wijekulasooriyage practices in Milwaukee, WI and has the professional credentials of MD. The NPI Number for Deemantha Gayan Fernando Wijekulasooriyage is 1780333567 and holds a License No. (Wisconsin).

The current practice location address for Deemantha Gayan Fernando Wijekulasooriyage is 945 N 12Th St, Milwaukee, WI and can be reached out via phone at 414-219-5725 and via fax at 414-219-5611.

Location: 945 N 12Th St, Milwaukee, WI, 53233-1305
person
Provider Profile Details
NPI Number
1780333567
Provider Name
Deemantha Gayan Fernando Wijekulasooriyage
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
945 N 12Th St, Milwaukee, WI, 53233-1305
Phone Number
414-219-5725
Fax Number
414-219-5611
Provider Enumeration Date
03/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
945 N 12Th St
City
State
Zip
53233-1305
Phone Number
414-219-5725
Fax Number
414-219-5611
person
Provider Business Mailing Address Details
Address
945 N 12Th St
City
State
Zip
53233-1305
Phone Number
414-219-5725
Fax Number
414-219-5611
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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