NPI Provider: 1518091016
Contact Name: Fuiks Sands Kimball
Position: CEO President
Phone: (262) 784-4205
Wisconsin Neurosurgery Sc Information:
Wisconsin Neurosurgery Sc organization have npi 1518091016, taxonomy code is 207T00000X with license number is 32726 in . This Business address located in 17280 W North Avenue, Brookfield, WI 53045 Wisconsin.
Practice Location
Address: 17280 W North Avenue, Brookfield, WI 53045
Phone: (262) 784-4205
Business Location
Address: 17280 W North Avenue, Brookfield, WI 53045
Phone: (262) 784-4205
Fax: (262) 784-6549
Taxonomy
Taxonomy Code: 207T00000X
License Number: 32726
License Number of State: WI
Primary Taxonomy Switch: Y
Enumeration Date: 3/15/2007
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