Organization · Type 2 NPI
Aesthetic and Reconstructive Surgery Associates SC
Plastic and Reconstructive Surgery Physician · Waukesha, WI
NPI number
1366409658
Active
Practice location
W 231 N1440 Corporate Ct, Ste 201
Waukesha, WI 53186
Fax (262) 896-6308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 24830 (WI) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1366409658
Aesthetic and Reconstructive Surgery Associates SC's National Provider Identifier is 1366409658, issued on Apr 28, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Waukesha, WI. The record was last updated on Oct 24, 2008.