Organization
WI INSTITUTE FOR NEUROLOGIC & SLEEP DISORDERS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ANTHONY NAUSIEDA MD (PRESIDENT)
(414) 219-7462
Entity
Organization
Contact information
Practice address
945 N 12TH ST, SUITE 4602, MILWAUKEE, WI 53233-1305
(414) 219-7450
(414) 219-5503
Mailing address
945 N 12TH ST, SUITE 4602, MILWAUKEE, WI 53233-1305
(414) 219-7450
(414) 219-5503
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
357021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32753100
—
WI
Enumeration date
05/25/2006
Last updated
08/22/2020
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