Organization
OBSTETRICS & GYNECOLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN DORSEY CPC (SUPERVISOR)
(414) 778-0070
Entity
Organization
Contact information
Practice address
3040 N 117TH ST, SUITE 200, WAUWATOSA, WI 53222-4128
(414) 778-0070
(414) 778-0359
Mailing address
3040 N 117TH ST, SUITE 200, WAUWATOSA, WI 53222-4128
(414) 778-0070
(414) 778-0359
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
12/15/2008
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