Organization · Type 2 NPI

Great Lakes Neurosurgical Associates LLC

Neurological Surgery Physician · Kenosha, WI

NPI number 1578743019 Active

Practice location

10400 75th St
Kenosha, WI 53142-7884

Call (262) 948-7000 Map

Mailing address

PO Box 241393
Milwaukee, WI 53224-9032

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1578743019

Great Lakes Neurosurgical Associates LLC's National Provider Identifier is 1578743019, issued on Nov 13, 2007. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Kenosha, WI. The record was last updated on May 17, 2013.