Organization
UROLOGY ASSOCIATES OF WISCONSIN S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELBY M MILLER (ADMINISTRATOR)
(920) 729-2220
Entity
Organization
Contact information
Practice address
100 THEDA CLARK MEDICAL PLZ, SUITE 300, NEENAH, WI 54956-2763
(920) 722-7747
(920) 886-8980
Mailing address
100 THEDA CLARK MEDICAL PLZ, SUITE 300, NEENAH, WI 54956-2763
(920) 722-7747
(920) 886-8980
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
37516-020
WI
Other
Enumeration date
07/10/2006
Last updated
11/12/2009
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