# NEURODIAGNOSTIC CLINIC OF MILWAUKEE, SC

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

## Provider details

- **NPI number:** 1477884419
- **Authorized official:** RIZWANULLAH ARAIN M.D. (PRESIDENT)
- **Authorized official phone:** (414) 442-3630

## Contact information

- **Practice address:** 6026 W LISBON AVE, MILWAUKEE, WI 53210-2114
- **Practice address phone:** (414) 442-3630
- **Practice address fax:** (414) 449-8552
- **Mailing address:** 6026 W LISBON AVE, MILWAUKEE, WI 53210-2114
- **Mailing address phone:** (414) 442-3630
- **Mailing address fax:** (414) 449-8552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 30101-020 | WI | Yes |

## Other

- **Enumeration date:** 01/14/2010
- **Last updated:** 01/14/2010