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Organization
UROLOGY INSTITUTE OF WAUKESHA SC
Active
Organization
UROLOGY INSTITUTE OF WAUKESHA SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W PATRICK FLANAGAN JR. (OWNER/PHYSICIAN)
(262) 542-9707
Entity
Organization
Contact information
Practice address
1111 DELAFIELD ST STE 12, WAUKESHA, WI 53188-3431
(262) 542-9707
(262) 542-9708
Mailing address
1111 DELAFIELD ST STE 12, WAUKESHA, WI 53188-3431
(262) 542-9707
(262) 542-9708
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29199020
WI
2088P0231X
Pediatric Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31395600
—
WI
Enumeration date
11/08/2007
Last updated
11/08/2007
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