Individual provider · Type 1 NPI
Nicolette Deveneau
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Milwaukee, WI
Practice location
2350 N Lake Dr, Suite 504
Milwaukee, WI 53211-4528
Fax (414) 289-0974
Mailing address
4425 N Port Washington Rd
Glendale, WI 53212-1082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | TP (KY) |
| Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Primary | 2088F0040X | 54414 (WI) |
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…
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About NPI 1982877866
Nicolette Deveneau's National Provider Identifier is 1982877866, issued on Apr 11, 2008. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician (2088F0040X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 25, 2015.