Organization
SOUTHEASTERN WISCONSIN ANESTHESIOLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAILESH JOSHI M.D. (AUTHORIZED OFFICIAL)
(262) 763-2411
Entity
Organization
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 763-2411
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4266
(262) 787-4026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32862000
—
WI
Enumeration date
05/26/2006
Last updated
01/14/2009
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