Organization
LOUISVILLE NEUROLOGICAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE G VILLANUEVA M.D. (PHYSICIAN)
(502) 891-8981
Entity
Organization
Contact information
Practice address
3900 KRESGE WAY, SUITE 51, LOUISVILLE, KY 40207-4660
(502) 891-8981
(502) 891-4548
Mailing address
3900 KRESGE WAY, SUITE 51, LOUISVILLE, KY 40207-4660
(502) 891-8981
(502) 891-4548
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
31793
KY
Other
Enumeration date
08/25/2006
Last updated
08/22/2020
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