| West Side Neurology Sc | |
|
2448 S 102nd St Ste 125 West Allis WI 53227-2466 | |
| (414) 328-3800 | |
| (414) 328-3818 |
| Full Name | West Side Neurology Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2448 S 102nd St, West Allis, Wisconsin |
| Authorized Official Name and Position | Jeff Dornburg (BILLING ADMIN) |
| Authorized Official Contact | 4143283800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Side Neurology Sc 2448 S 102nd St Ste 125 West Allis WI 53227-2466 Ph: (414) 328-3800 | West Side Neurology Sc 2448 S 102nd St Ste 125 West Allis WI 53227-2466 Ph: (414) 328-3800 |
| NPI Number | 1265685093 |
|---|---|
| Provider Enumeration Date | 10/24/2008 |
| Last Update Date | 10/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265685093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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