Organization
NEURANIMUS P C
Active
Organization
NEURANIMUS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WASSER (MANAGER)
(805) 608-3600
Entity
Organization
Contact information
Practice address
111 N MARKET ST STE 300, SAN JOSE, CA 95113-1116
(805) 608-3600
Mailing address
1511 3RD AVE STE 1000, SEATTLE, WA 98101-3637
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
07/14/2022
Last updated
11/21/2022
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