Regional Neurology Center | |
5678 W Brown Deer Rd #101 Milwaukee WI 53223-2365 | |
(414) 354-8700 | |
Not Available |
Full Name | Regional Neurology Center |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 5678 W Brown Deer Rd, Milwaukee, Wisconsin |
Authorized Official Name and Position | Rose M Dotson (OWNER PRESIDENT) |
Authorized Official Contact | 4143548700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Regional Neurology Center 4555 W Schroeder Dr #170 Milwaukee WI 53223-1475 Ph: (414) 365-3210 | Regional Neurology Center 5678 W Brown Deer Rd #101 Milwaukee WI 53223-2365 Ph: (414) 354-8700 |
NPI Number | 1003999681 |
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Provider Enumeration Date | 10/24/2006 |
Last Update Date | 03/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003999681 | NPI | - | NPPES |
30653500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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