Organization · Type 2 NPI

Mid Wisconsin Ear, Nose & Throat Professionals

Facial Plastic Surgery Physician · Wausau, WI

NPI number 1366778250 Active

Practice location

2600 Rib Mountain Dr, Suite 200
Wausau, WI 54401-7196

Fax (715) 845-6768

Mailing address

2715 W Frank St
Eau Claire, WI 54703-2593

Specialties and licenses

TaxonomyCodeLicense
Facial Plastic Surgery Physician Primary 207YS0123X37345 (WI)

Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.

6 other providers at this address

About NPI 1366778250

Mid Wisconsin Ear, Nose & Throat Professionals's National Provider Identifier is 1366778250, issued on Oct 27, 2009. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Wausau, WI. The record was last updated on Jun 8, 2011.