Wisconsin Neurosurgery Sc

NPI 1518091016 - Neurological Surgery - 207T00000X

NPI Details
NPI 1518091016
Enumeration Date 03/15/2007
Last Updated 05/08/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KIMBALL SANDS KIMBALL
Position CEO PRESIDENT
Phone (262) 784-4205
Fax (262) 784-6549
Practice Location
17280 W NORTH AVENUE
SUITE 204
BROOKFIELD WI, 53045, US
Phone (262) 784-4205
Fax (262) 784-6549
Business Location
17280 W NORTH AVENUE
SUITE 204
BROOKFIELD WI, 53045, US
Phone (262) 784-4205
Fax (262) 784-6549
Toxanomy
Taxonomy Code 207T00000X
License State Wisconsin
License Number 32726
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According to our database, Wisconsin Neurosurgery Sc NPI is 1518091016, taxonomy code is 207T00000X and license number is 32726, license state is located at Wisconsin. Wisconsin Neurosurgery Sc physically located at 17280 W North Avenue, Brookfield WI, 53045. NPI Number 1033115704 has the healthcare provider type.

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1518091016 NPI number is provided on an as is basis without warranty of any kind. 1518091016 is maintained by the National Plan & Provider Enumeration System. The contents of Wisconsin Neurosurgery Sc are for informational purposes only.