Mind Neurology Wisconsin Sc

NPI #1073242194 in Mequon, Wisconsin

Provider Information

NPI Number
1073242194
Entity Type
Organization
Organization Name
Mind Neurology Wisconsin Sc
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Jun 6, 2022
Last Updated
Aug 19, 2024

Practice Location

Address
12200 CORPORATE PKWY STE 400
City
Mequon
ZIP Code
53092-3300
Phone
(414) 430-0069

Authorized Official

Name
JACOB HART, RN BSN MBA
Title
CHIEF OPERATING OFFICER
Phone
(414) 430-0069

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care
Clinic/Center - Medical SpecialtyMedical Specialty

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