Physical Medicine Institute Of Wisconsin

NPI 1295093235 - Anesthesiology - 207L00000X

NPI Details
NPI 1295093235
Enumeration Date 04/27/2012
Last Updated 04/27/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SCOTT SCOTT
Position PRESIDENT
Phone (262) 200-2700
Fax
Practice Location
1370 PADST FARMS CIRCLE
SUITE 345
OCONOMOWOC WI, 53066-4879, US
Phone (262) 200-2700
Fax
Business Location
1370 PADST FARMS CIRCLE
SUITE 345
OCONOMOWOC WI, 53066-4879, US
Phone (262) 200-2700
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Wisconsin
License Number 2772820
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According to our database, Physical Medicine Institute Of Wisconsin NPI is 1295093235, taxonomy code is 207L00000X and license number is 2772820, license state is located at Wisconsin. Physical Medicine Institute Of Wisconsin physically located at 1370 Padst Farms Circle, Oconomowoc WI, 53066-4879. NPI Number 1033115704 has the healthcare provider type.

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1295093235 NPI number is provided on an as is basis without warranty of any kind. 1295093235 is maintained by the National Plan & Provider Enumeration System. The contents of Physical Medicine Institute Of Wisconsin are for informational purposes only.