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Organization

NEUROLOGY DIAGNOSTICS GROUP, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS BLANK (CONTRACTING AND CREDENTIALING MANAG)
(262) 875-6575
Entity
Organization

Contact information

Practice address
1451 ELM HILL PIKE STE 107, NASHVILLE, TN 37210-4551
(866) 374-7648
(262) 754-0897
Mailing address
626 W MORELAND BLVD, WAUKESHA, WI 53188-2433
(866) 374-7648
(262) 754-0897

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
06/13/2024
Last updated
06/13/2024
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