Academic Dermatology & Mohs Surgery Sc

NPI 1013197862 - Dermatology - 207N00000X

NPI Details
NPI 1013197862
Enumeration Date 11/09/2007
Last Updated 03/24/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MANISH J MANISH
Position OWNER/PRESIDENT
Phone (414) 258-3376
Fax (414) 475-6647
Practice Location
201 N MAYFAIR RD
SUITE 550
WAUWATOSA WI, 53226-4216, US
Phone (414) 258-3376
Fax (414) 475-6647
Business Location
4555 W SCHROEDER DR
SUITE 170
MILWAUKEE WI, 53223-1475, US
Phone (414) 365-3210
Fax (414) 365-3225
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
Remove 1013197862 NPI Number
 

According to our database, Academic Dermatology & Mohs Surgery Sc NPI is 1013197862, taxonomy code is 207N00000X Academic Dermatology & Mohs Surgery Sc physically located at 201 N Mayfair Rd, Wauwatosa WI, 53226-4216. NPI Number 1033115704 has the healthcare provider type.

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1013197862 NPI number is provided on an as is basis without warranty of any kind. 1013197862 is maintained by the National Plan & Provider Enumeration System. The contents of Academic Dermatology & Mohs Surgery Sc are for informational purposes only.