| Neurodiagnostic Clinic Of Milwaukee, Sc | |
|
6026 W Lisbon Ave Milwaukee WI 53210-2114 | |
| (414) 442-3630 | |
| (414) 449-8552 |
| Full Name | Neurodiagnostic Clinic Of Milwaukee, Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6026 W Lisbon Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Rizwanullah Arain (PRESIDENT) |
| Authorized Official Contact | 4144423630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurodiagnostic Clinic Of Milwaukee, Sc 6026 W Lisbon Ave Milwaukee WI 53210-2114 Ph: (414) 442-3630 | Neurodiagnostic Clinic Of Milwaukee, Sc 6026 W Lisbon Ave Milwaukee WI 53210-2114 Ph: (414) 442-3630 |
| NPI Number | 1477884419 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 01/14/2010 |
| Medicare PECOS PAC ID | 6800930728 |
|---|---|
| Medicare Enrollment ID | O20100216000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477884419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 30101-020 (Wisconsin) | Primary |
| Provider Name | Rizwanullah Arain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861489536 PECOS PAC ID: 6901940824 Enrollment ID: I20100216000553 |
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