OrganizationActive
Advanced Ear Nose & Throat Specialists, Sc
NPI 1689782427 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Milwaukee, WI
Provider details
- NPI number
- 1689782427
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Madan Kandula, Ceo
- License
- 434 156 (WI)
Mailing address
10001 W Innovation Dr Ste 200
Wauwatosa, WI 53226-4851
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2021-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.