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Organization

UROLOGY INSTITUTE OF WAUKESHA SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. W PATRICK FLANAGAN JR. (OWNER/PHYSICIAN)
(262) 542-9707
Entity
Organization

Contact information

Practice address
1111 DELAFIELD ST STE 12, WAUKESHA, WI 53188-3431
(262) 542-9707
(262) 542-9708
Mailing address
1111 DELAFIELD ST STE 12, WAUKESHA, WI 53188-3431
(262) 542-9707
(262) 542-9708

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29199020
WI
2088P0231X
Pediatric Urology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31395600
WI
Enumeration date
11/08/2007
Last updated
11/08/2007
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