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Organization
NEUROSPINE AND ENDOVASCULAR CENTER LLC
Active
Organization
NEUROSPINE AND ENDOVASCULAR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARVIND AHUJA MD (MEDICAL DIRECTOR)
(414) 488-1111
Entity
Organization
Contact information
Practice address
10500 W LOOMIS RD STE 120, FRANKLIN, WI 53132-8030
(414) 488-1111
Mailing address
10500 W LOOMIS RD STE 130, FRANKLIN, WI 53132-8030
(414) 488-1111
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/29/2020
Last updated
12/08/2021
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