Organization
VASCO S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID S SANDOCK M.D (CEO)
(414) 527-2521
Entity
Organization
Contact information
Practice address
2311 N PROSPECT AVE, MILWAUKEE, WI 53211-4445
(414) 319-3000
Mailing address
PO BOX 11678, SHOREWOOD, WI 53211-0678
(414) 527-2521
(414) 527-0638
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
37739
WI
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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