Organization
LAKESIDE NEUROCARE LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN M GOLDEN (BUSINESS MANAGER)
(920) 223-5582
Entity
Organization
Contact information
Practice address
2700 W 9TH AVE STE 225, OSHKOSH, WI 54904-7865
(920) 223-5580
(920) 223-5592
Mailing address
2700 W 9TH AVE STE 225, OSHKOSH, WI 54904-7865
(920) 223-5580
(920) 223-5592
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
04/13/2012
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