Organization
KEITH L MAUSNER MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH LINCOLN MAUSNER M.D. (PRESIDENT)
(414) 517-6233
Entity
Organization
Contact information
Practice address
W350S6672 ULRICKSON RD, EAGLE, WI 53119-1249
(414) 517-6233
Mailing address
W350S6672 ULRICKSON RD, EAGLE, WI 53119-1249
(414) 517-6233
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
33295-20
WI
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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