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Organization

NRG MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NEIL R GUENTHER M.D. (PRESIDENT)
(262) 787-4050
Entity
Organization

Contact information

Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4257
(262) 787-4050
(262) 782-6040

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25937
WI
208VP0014X
Interventional Pain Medicine Physician
Primary
25937
WI

Other

Enumeration date
03/10/2011
Last updated
03/10/2011
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