Organization
NEUROLOGIC ASSOCIATES OF WAUKESHA, LTD
Active
Parent organization
NEUROLOGIC ASSOCIATES OF WAUKESHA, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEUROLOGIC ASSOCIATES OF WAUKESHA, LTD
Authorized official
DR. ANDREW V. BEYKOVSKY M.D. (MEDICAL DIRECTOR)
(262) 542-9503
Entity
Organization
Contact information
Practice address
1111 DELAFIELD ST, SUITE 105, WAUKESHA, WI 53188-3417
(262) 542-9503
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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