Edward St Ville M.D>

NPI 1003838111 - Radiology - 2085R0202X

NPI Details
NPI 1003838111
Gender Male
Enumeration Date 07/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2875 S 171ST ST
NEW BERLIN WI, 53151-3511, US
Phone (262) 786-3107
Fax (262) 780-0442
Business Location
2875 S 171ST ST
NEW BERLIN WI, 53151-3511, US
Phone (262) 786-3107
Fax (262) 780-0442
Toxanomy
Taxonomy Code 2085R0202X
License State Wisconsin
License Number 36436
Remove 1003838111 NPI Number
 

According to our database, Edward St Ville M.D> NPI is 1003838111, taxonomy code is 2085R0202X and license number is 36436, license state is located at Wisconsin. Edward St Ville M.D> physically located at 2875 S 171st St, New Berlin WI, 53151-3511. NPI Number Edward St Ville M.D> has the Individual type.

Sponsored links

1003838111 NPI number is provided on an as is basis without warranty of any kind. 1003838111 is maintained by the National Plan & Provider Enumeration System. The contents of Edward St Ville M.D> are for informational purposes only.