Northland Neurology S.c. | |
214 Elkhorn Rd Williams Bay WI 53191-9514 | |
(262) 245-2600 | |
(262) 245-6600 |
Full Name | Northland Neurology S.c. |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 214 Elkhorn Rd, Williams Bay, Wisconsin |
Authorized Official Name and Position | Craig J. Johnson (MEDICAL DIRECTOR) |
Authorized Official Contact | 2622452600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northland Neurology S.c. Po Box 358 Williams Bay WI 53191-0358 Ph: (262) 245-2600 | Northland Neurology S.c. 214 Elkhorn Rd Williams Bay WI 53191-9514 Ph: (262) 245-2600 |
NPI Number | 1912034026 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 01/07/2008 |
Identifier | Type | State | Issuer |
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1912034026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 29092 (Wisconsin) | Primary |
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