Wisconsin Neurology Clinic, Llc

NPI 1639101405 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1639101405
Enumeration Date 07/06/2006
Last Updated 10/24/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name VIRENDRA K VIRENDRA
Position OWNER
Phone (414) 431-6760
Fax (414) 431-6761
Practice Location
2603 W RAWSON AVE
SUITE 128
OAK CREEK WI, 53154-8422, US
Phone (414) 431-6760
Fax (414) 431-6761
Business Location
2603 W RAWSON AVE
SUITE 128
OAK CREEK WI, 53154-8422, US
Phone (414) 431-6760
Fax (414) 431-6761
Toxanomy
Taxonomy Code 2084N0400X
License State Wisconsin
License Number 38580
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According to our database, Wisconsin Neurology Clinic, Llc NPI is 1639101405, taxonomy code is 2084N0400X and license number is 38580, license state is located at Wisconsin. Wisconsin Neurology Clinic, Llc physically located at 2603 W Rawson Ave, Oak Creek WI, 53154-8422. NPI Number 1033115704 has the healthcare provider type.

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1639101405 NPI number is provided on an as is basis without warranty of any kind. 1639101405 is maintained by the National Plan & Provider Enumeration System. The contents of Wisconsin Neurology Clinic, Llc are for informational purposes only.