Search › Wisconsin › 152W00000X
Alwin Edakkunnathu, O.D
NPI 1467899609 · on the registry since 2013
Practice
- Address
- 5150 N Port Washington Rd Ste 251
Glendale, WI 53217 - Phone
- (414) 332-0606
- Fax
- (414) 967-3604
- Organisation at this address
- Paul D Mandel Md Sc
Glendale Dental Llc
Great Lakes Hospice Llc
Bruce Holmstrom D.D.S.,Sc
Neurological Surgery Consultants, LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 620 E Green Bay Ave Ste 124, Saukville, WI
- 10320 N Port Washington Rd, Mequon, WI
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin