# WISCONSIN NEUROSURGERY SC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WISCONSIN NEUROSURGERY SC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861750440
- **Legal business name:** WISCONSIN NEUROSURGERY SC
- **Authorized official:** DR. KIMBALL S FUIKS MD (PRESIDENT)
- **Authorized official phone:** (262) 784-4205

## Contact information

- **Practice address:** 550 FOREST CT, BROOKFIELD, WI 53045-3628
- **Practice address phone:** (262) 784-4205
- **Practice address fax:** (262) 784-6549
- **Mailing address:** 550 FOREST CT, BROOKFIELD, WI 53045-3628
- **Mailing address phone:** (262) 784-4205
- **Mailing address fax:** (262) 784-6549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2012
- **Last updated:** 07/24/2025