Glendale Anesthesia Providers Sc

NPI 1043451651 - Anesthesiology - 207L00000X

NPI Details
NPI 1043451651
Enumeration Date 03/11/2009
Last Updated 07/07/2014
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JOAN L JOAN
Position PRESIDENT
Phone (414) 352-3341
Fax (414) 247-4588
Practice Location
7007 N RANGE LINE RD
MILWAUKEE WI, 53209-2620, US
Phone (414) 352-3341
Fax (414) 247-4588
Business Location
4555 W SCHROEDER DR
#170
MILWAUKEE WI, 53223-1475, US
Phone (414) 365-3210
Fax (414) 365-3225
Toxanomy
Taxonomy Code 207L00000X
License State
License Number
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According to our database, Glendale Anesthesia Providers Sc NPI is 1043451651, taxonomy code is 207L00000X Glendale Anesthesia Providers Sc physically located at 7007 N Range Line Rd, Milwaukee WI, 53209-2620. NPI Number 1033115704 has the healthcare provider type.

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1043451651 NPI number is provided on an as is basis without warranty of any kind. 1043451651 is maintained by the National Plan & Provider Enumeration System. The contents of Glendale Anesthesia Providers Sc are for informational purposes only.