Organization
LAKE COUNTRY PATHOLOGISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN D KUECK MD (VICE PRESIDENT)
(262) 928-2287
Entity
Organization
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-2287
(262) 928-4699
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-2287
(262) 928-4699
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
04/28/2006
Last updated
07/23/2010
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