Organization
AESTHETIC AND RECONSTRUCTIVE SURGERY ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAZIH JOHN YOUSIF MD (PRESIDENT)
(414) 352-2766
Entity
Organization
Contact information
Practice address
W 231 N1440 CORPORATE CT, STE 201, WAUKESHA, WI 53186
(414) 352-2766
(262) 896-6308
Mailing address
W 231 N1440 CORPORATE CT, STE 201, WAUKESHA, WI 53186
(414) 352-2766
(262) 896-6308
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
24830
WI
Other
Enumeration date
04/28/2006
Last updated
10/24/2008
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