Neurology And Pain Treatment, Ltd. | |
2600 N Mayfair Rd Ste 1120 Wauwatosa WI 53226-1308 | |
(414) 453-7780 | |
Not Available |
Full Name | Neurology And Pain Treatment, Ltd. |
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Speciality | Psychiatry & Neurology |
Location | 2600 N Mayfair Rd Ste 1120, Wauwatosa, Wisconsin |
Authorized Official Name and Position | Julie Sura (OFFICE MANAGER) |
Authorized Official Contact | 4144537780 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neurology And Pain Treatment, Ltd. 2600 N Mayfair Rd Ste 1120 Wauwatosa WI 53226-1308 Ph: (414) 453-7780 | Neurology And Pain Treatment, Ltd. 2600 N Mayfair Rd Ste 1120 Wauwatosa WI 53226-1308 Ph: (414) 453-7780 |
NPI Number | 1982803102 |
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Provider Enumeration Date | 07/17/2007 |
Last Update Date | 01/08/2019 |
Medicare PECOS PAC ID | 1456368778 |
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Medicare Enrollment ID | O20060313000017 |
Identifier | Type | State | Issuer |
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1982803102 | NPI | - | NPPES |
30033300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | 19841 (Wisconsin) | Primary |
Provider Name | Neal H Pollack |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1497833719 PECOS PAC ID: 3173530490 Enrollment ID: I20060313000026 |
Provider Name | Bridget Erin Harcus-wickersham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437258589 PECOS PAC ID: 5597762260 Enrollment ID: I20061023000524 |
Provider Name | Marjorie Salem |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538520580 PECOS PAC ID: 1355632530 Enrollment ID: I20190412000637 |
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