Individual provider · Type 1 NPI
Dimitrios P. Bousounis, MD
Neurology with Special Qualifications in Child Neurology Physician · Glendale, WI
NPI number
1861585408
Active
Practice location
200 W. Silver Spring Drive, # 255
Glendale, WI 53217
Fax (414) 964-8451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 27172 (WI) |
| Neurology with Special Qualifications in Child Neurology Physician Primary | 2084N0402X | 27172 (WI) |
| Clinical Neurophysiology Physician | 2084N0600X | 27172 (WI) |
Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
About NPI 1861585408
Dimitrios P. Bousounis, MD's National Provider Identifier is 1861585408, issued on Oct 2, 2006. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Glendale, WI. The record was last updated on Oct 17, 2007.