Organization · Type 2 NPI
Wisconsin Vein Center and Medispa, SC
Vascular Surgery Physician · Pewaukee, WI
NPI number
1083732788
Active
Practice location
1231 George Towne Drive, Suite G
Pewaukee, WI 53072
Fax (262) 746-9088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
About NPI 1083732788
Wisconsin Vein Center and Medispa, SC's National Provider Identifier is 1083732788, issued on Mar 27, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Pewaukee, WI. The record was last updated on Oct 28, 2008.