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Organization
WAUKESHA UROLOGY ASSOCIATES SC
Active
Organization
WAUKESHA UROLOGY ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL K LAWSON MD (PRESIDENT)
(262) 548-3600
Entity
Organization
Contact information
Practice address
721 AMERICAN AVE, SUITE 402, WAUKESHA, WI 53188-5071
(262) 548-3600
(262) 548-3539
Mailing address
721 AMERICAN AVE, SUITE 402, WAUKESHA, WI 53188-5071
(262) 548-3600
(262) 548-3539
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
20043
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21258900
—
WI
Enumeration date
08/25/2005
Last updated
08/22/2020
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