Dimitrios P Bousounis Md

NPI 1073666269 - Clinic/Center - 261QM2500X

NPI Details
NPI 1073666269
Enumeration Date 01/19/2007
Last Updated 04/24/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DIMITRIOS P DIMITRIOS
Position OWNER
Phone (414) 964-8450
Fax (414) 964-8451
Practice Location
200 W SILVER SPRING DR STE 255
GLENDALE WI, 53217-5058, US
Phone (414) 964-8450
Fax (414) 964-8451
Business Location
200 W SILVER SPRING DR STE 255
GLENDALE WI, 53217-5058, US
Phone (414) 964-8450
Fax (414) 964-8451
Toxanomy
Taxonomy Code 261QM2500X
License State Wisconsin
License Number 27172
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According to our database, Dimitrios P Bousounis Md NPI is 1073666269, taxonomy code is 261QM2500X and license number is 27172, license state is located at Wisconsin. Dimitrios P Bousounis Md physically located at 200 W Silver Spring Dr Ste 255, Glendale WI, 53217-5058. NPI Number 1033115704 has the healthcare provider type.

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1073666269 NPI number is provided on an as is basis without warranty of any kind. 1073666269 is maintained by the National Plan & Provider Enumeration System. The contents of Dimitrios P Bousounis Md are for informational purposes only.