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Organization

ANESTHESIOLOGY ASSOCIATES OF WISCONSIN, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIRK A HANSEN M.D. (PRESIDENT)
(414) 649-6000
Entity
Organization

Contact information

Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4257
(262) 787-4026
(262) 782-6040

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
208VP0014X
Interventional Pain Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32821000
WI
Enumeration date
05/23/2006
Last updated
02/01/2012
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