Organization
NEUROTEL MANAGEMENT CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT EVAN HECOX M. D., PH. D (CEO)
(708) 220-4287
Entity
Organization
Contact information
Practice address
21920 W CLEVELAND AVE, NEW BERLIN, WI 53146-1936
(708) 267-4287
(262) 521-1089
Mailing address
21920 W CLEVELAND AVE, NEW BERLIN, WI 53146-1936
(708) 267-4287
(262) 521-1089
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22860-020
WI
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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