Organization
PHARMASAN LABS INC
Active
Organization
PHARMASAN LABS INC
Active
Other names
NeuroScience Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOTTFRIED KELLERMANN PHD (OWNER PRESIDENT)
(715) 294-2144
Entity
Organization
Contact information
Practice address
375 280TH ST, OSCEOLA, WI 54020-4120
(715) 294-2144
(715) 294-2006
Mailing address
375 280TH ST, OSCEOLA, WI 54020-4120
(715) 294-2144
(715) 294-2006
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30F23PH
BCBS PROVIDER NUMBER
MN
01
—
34-0031
MEDICA PROVIDER NUMBER
WI
01
—
7751240
AETNA
WI
Enumeration date
10/03/2006
Last updated
08/22/2020
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