Kenosha Vascular Lab Inc

NPI 1033246152 - Specialist - 174400000X

NPI Details
NPI 1033246152
Enumeration Date 02/27/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT G ROBERT
Position PRESIDENT
Phone (262) 656-8265
Fax (262) 656-8273
Practice Location
6308 8TH AVE
SUITE 301
KENOSHA WI, 53143-5031, US
Phone (262) 656-8265
Fax (262) 656-8273
Business Location
6308 8TH AVE
SUITE 301
KENOSHA WI, 53143-5031, US
Phone (262) 656-8265
Fax (262) 656-8273
Toxanomy
Taxonomy Code 174400000X
License State Wisconsin
License Number 22193
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According to our database, Kenosha Vascular Lab Inc NPI is 1033246152, taxonomy code is 174400000X and license number is 22193, license state is located at Wisconsin. Kenosha Vascular Lab Inc physically located at 6308 8th Ave, Kenosha WI, 53143-5031. NPI Number 1033115704 has the healthcare provider type.

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1033246152 NPI number is provided on an as is basis without warranty of any kind. 1033246152 is maintained by the National Plan & Provider Enumeration System. The contents of Kenosha Vascular Lab Inc are for informational purposes only.