Organization
NEUROSPINE AND ENDOVASCULAR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARVIND AHUJA MD (MEDICAL DIRECTOR)
(414) 488-1111
Entity
Organization
Contact information
Practice address
10500 W LOOMIS RD STE 120, FRANKLIN, WI 53132-8030
(414) 488-1111
Mailing address
10500 W LOOMIS RD STE 130, FRANKLIN, WI 53132-8030
(414) 488-1111
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
12/08/2021
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