Organization
LAKESHORE VEINS S. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE K BARTEL M.D. (OWNER)
(262) 241-3999
Entity
Organization
Contact information
Practice address
1361 W TOWNE SQUARE RD, MEQUON, WI 53092-5047
(262) 241-3999
Mailing address
1361 W TOWNE SQUARE RD, MEQUON, WI 53092-5047
(262) 241-3999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3261440
—
WI
Enumeration date
02/02/2017
Last updated
02/02/2017
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