Organization
AMBULATORY EEG RECORDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE K CHASE (CEO)
(262) 241-1701
Entity
Organization
Contact information
Practice address
10325 N PORT WASHINGTON RD, SUITE 150, MEQUON, WI 53092-5764
(262) 241-1701
(262) 241-1801
Mailing address
PO BOX 170602, MILWAUKEE, WI 53217-8051
(262) 241-1701
(262) 241-1801
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
647186
WI
Other
Enumeration date
05/25/2006
Last updated
12/11/2008
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