Urology Associates of Wisconsin S.c.

NPI #1053345983 in Neenah, Wisconsin

Provider Information

NPI Number: 1053345983
Entity Type: Organization
Organization Name: Urology Associates of Wisconsin S.c.
Primary Specialty: Urology
Enumeration Date: Jul 10, 2006
Last Updated: Nov 12, 2009

Practice Location

Address: 100 THEDA CLARK MEDICAL PLZ
Address 2: SUITE 300
City: Neenah
State: Wisconsin
ZIP Code: 54956-2763
Phone: (920) 722-7747

Authorized Official

Name: MS. SHELBY M MILLER
Title: ADMINISTRATOR
Phone: (920) 729-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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