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Organization

PURATH HEADACHE & NEUROLOGY, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK RICHARD PURATH (ADMINISTRATOR)
(262) 694-5000
Entity
Organization

Contact information

Practice address
565 MILWAUKEE AVE, BURLINGTON, WI 53105-1254
(262) 694-5000
Mailing address
5244 ZACHARY DR, MOUNT PLEASANT, WI 53403-9795
(262) 694-5000

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
40525-20
WI

Other

Enumeration date
06/11/2013
Last updated
06/11/2013
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