| Cmm Sundaram Md Sc | |
|
2600 N Mayfair Rd Suite 670 Wauwatosa WI 53226-1309 | |
| (414) 933-9851 | |
| Not Available |
| Full Name | Cmm Sundaram Md Sc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2600 N Mayfair Rd, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Cmm Sundaram (PRESIDENT) |
| Authorized Official Contact | 4149339851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmm Sundaram Md Sc 2600 N Mayfair Rd Suite 670 Wauwatosa WI 53226-1309 Ph: (414) 933-9851 | Cmm Sundaram Md Sc 2600 N Mayfair Rd Suite 670 Wauwatosa WI 53226-1309 Ph: (414) 933-9851 |
| NPI Number | 1336397322 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 09/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336397322 | NPI | - | NPPES |
| 00146365 | Other | WI | MEDICARE ID |
| 30317000 | Medicaid | WI |
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