Organization
WEST SIDE NEUROLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF DORNBURG (BILLING ADMIN)
(414) 328-3800
Entity
Organization
Contact information
Practice address
2448 S 102ND ST, STE 125, WEST ALLIS, WI 53227-2466
(414) 328-3800
(414) 328-3818
Mailing address
2448 S 102ND ST, STE 125, WEST ALLIS, WI 53227-2466
(414) 328-3800
(414) 328-3818
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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