Organization
PREMIER WOUND SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY A NIEZGODA MD (PRESIDENT)
(262) 524-2784
Entity
Organization
Contact information
Practice address
2400 GOLF RD, PEWAUKEE, WI 53072-5590
(262) 524-2784
Mailing address
9875 S FRANKLIN DR, FRANKLIN, WI 53132-8895
(414) 858-2200
(414) 858-2230
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
WI
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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