# NEUROSPINE AND ENDOVASCULAR CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275157943
- **Authorized official:** DR. ARVIND AHUJA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (414) 488-1111

## Contact information

- **Practice address:** 10500 W LOOMIS RD STE 120, FRANKLIN, WI 53132-8030
- **Practice address phone:** (414) 488-1111
- **Mailing address:** 10500 W LOOMIS RD STE 130, FRANKLIN, WI 53132-8030
- **Mailing address phone:** (414) 488-1111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2020
- **Last updated:** 12/08/2021