Consultants In Neurology, Sc | |
3805b Spring St Ste 250 Mt Pleasant WI 53405-1643 | |
(262) 631-8550 | |
(262) 631-8557 |
Full Name | Consultants In Neurology, Sc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 3805b Spring St Ste 250, Mt Pleasant, Wisconsin |
Authorized Official Name and Position | Kim Andersen (OFFICE MANAGER) |
Authorized Official Contact | 2626318550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Consultants In Neurology, Sc 3805b Spring St Ste 250 Mt Pleasant WI 53405-1643 Ph: (262) 631-8550 | Consultants In Neurology, Sc 3805b Spring St Ste 250 Mt Pleasant WI 53405-1643 Ph: (262) 631-8550 |
NPI Number | 1174594345 |
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Provider Enumeration Date | 01/27/2006 |
Last Update Date | 12/19/2019 |
Certification Date | 12/19/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174594345 | NPI | - | NPPES |
121099615 | Other | WI | WPS |
32761600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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