Organization
VISAGE FACIAL PLASTIC SURGERY SC
Active
Organization
VISAGE FACIAL PLASTIC SURGERY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAND D PATEL M.D. (OWNER)
(323) 839-8022
Entity
Organization
Contact information
Practice address
19275 W CAPITOL DR, SUITE 205, BROOKFIELD, WI 53045-2742
(262) 701-7040
Mailing address
19275 W CAPITOL DR, SUITE 205, BROOKFIELD, WI 53045-2742
(262) 701-7040
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
Other
Enumeration date
02/07/2014
Last updated
11/09/2016
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