Organization
MILWAUKEE SPINAL SPECIALISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIKI MISOVY (ACCOUNTS REP)
(414) 961-2225
Entity
Organization
Contact information
Practice address
575 W. RIVER WOODS PKWY, SUITE 305, MILWAUKEE, WI 53212-1003
(414) 961-2225
(414) 961-0298
Mailing address
575 W. RIVER WOODS PKWY, SUITE 305, MILWAUKEE, WI 53212-1003
(414) 961-2225
(414) 961-0298
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
25408
WI
Other
Enumeration date
01/20/2010
Last updated
03/29/2016
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