Organization · Type 2 NPI
Milwaukee Ear Nose Throat Clinic Limited
Facial Plastic Surgery Physician · Mequon, WI
NPI number
1457497091
Active
Practice location
10945 N Port Washington Rd Ste 211
Mequon, WI 53092-5078
Fax (262) 241-8096
Mailing address
10945 N Port Washington Rd, Suite 211
Mequon, WI 53092-5078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | None listed |
| Facial Plastic Surgery Physician Primary | 207YS0123X | None listed |
| Audiologist | 231H00000X | None listed |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
Another provider at this address
About NPI 1457497091
Milwaukee Ear Nose Throat Clinic Limited's National Provider Identifier is 1457497091, issued on Jan 30, 2007. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Mequon, WI. The record was last updated on Jan 7, 2020.