Organization
WAUKESHA EYE ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H. NAGEL M.D. (PRESIDENT)
(262) 542-0860
Entity
Organization
Contact information
Practice address
1111 DELAFIELD ST, SUITE 314, WAUKESHA, WI 53188-3417
(262) 542-0860
(262) 542-5428
Mailing address
1111 DELAFIELD ST, SUITE 314, WAUKESHA, WI 53188-3417
(262) 542-0860
(262) 542-5428
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
19016
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS1332
RR MEDICARE
WI
Enumeration date
04/16/2008
Last updated
04/23/2008
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