Crain Henry Bliwas M.D.

NPI 1861570855 - Clinical Neuropsychologist - 103G00000X

NPI Details
NPI 1861570855
Gender Male
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
11101 W LINCOLN AVE
WEST ALLIS WI, 53227-1133, US
Phone (414) 203-4500
Fax
Business Location
11101 W LINCOLN AVE
WEST ALLIS WI, 53227-1133, US
Phone (414) 203-4500
Fax
Toxanomy
Taxonomy Code 103G00000X
License State Wisconsin
License Number 19951
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According to our database, Dr. Crain Henry Bliwas M.D. NPI is 1861570855, taxonomy code is 103G00000X and license number is 19951, license state is located at Wisconsin. Crain Henry Bliwas M.D. physically located at 11101 W Lincoln Ave, West Allis WI, 53227-1133. NPI Number Crain Henry Bliwas M.D. has the Individual type.

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1861570855 NPI number is provided on an as is basis without warranty of any kind. 1861570855 is maintained by the National Plan & Provider Enumeration System. The contents of Crain Henry Bliwas M.D. are for informational purposes only.