Urology Specialists Of Wisconsin Sc
Specialist in Wausau, WI. Organization (NPI-2).
NPI number1831132018
StatusActive
Last updated in NPPESDec 12, 2012
Details
- NPI
- 1831132018
- Entity type
- Organization (NPI-2)
- Legal business name
- Urology Specialists Of Wisconsin Sc
- Organization subpart
- No
- Enumeration date
- Jun 14, 2006
- Last updated
- Dec 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
3300 Westhill DriveWausau, WI 54401
Phone 715-847-2605 · Fax 715-847-2604
Mailing address
3300 Westhill DriveWausau, WI 54401
Phone 715-847-2605 · Fax 715-847-2604
Authorized official
Sue E Brudenell
Executive Director
7158431112
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All 7 Specialist providers in Wausau · All 2,366 providers in Wausau
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