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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