Organization
MILWAUKEE NEUROLOGICAL INSTITUTE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN F. BEHM (EXECUTIVE DIRECTOR)
(414) 278-9000
Entity
Organization
Contact information
Practice address
960 N 12TH ST, SUITE 1800, MILWAUKEE, WI 53233-1306
(414) 278-9000
(414) 278-9005
Mailing address
960 N 12TH ST, SUITE 1800, MILWAUKEE, WI 53233-1306
(414) 278-9000
(414) 278-9005
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21298100
—
WI
Enumeration date
06/04/2006
Last updated
03/17/2009
Update your record
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