Organization
EP MONITORING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZA MAGDALENA PORTER CNIM (SURGICAL NEUROPHYSIOLOGY TECHNOLOGI)
(715) 271-9608
Entity
Organization
Contact information
Practice address
1119 REGIS CT, STE 110, EAU CLAIRE, WI 54701-3786
(715) 271-9608
Mailing address
1119 REGIS CT, STE 110 PO BOX 81, EAU CLAIRE, WI 54701-3786
(715) 271-9608
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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