Organization
METROPOLITAN WATERTOWN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL TABAKIN MD (ANESTHESIOLOGIST/TREASURER)
(414) 617-9941
Entity
Organization
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4210
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(800) 394-4445
(706) 650-1034
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
WI
Other
Enumeration date
03/07/2008
Last updated
07/21/2022
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