Dimitrios P Bousounis MD

NPI #1073666269 in Glendale, Wisconsin

Provider Information

NPI Number
1073666269
Entity Type
Organization
Organization Name
Dimitrios P Bousounis MD
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Jan 19, 2007
Last Updated
Apr 24, 2008

Practice Location

Address
200 W SILVER SPRING DR STE 255
ZIP Code
53217-5058
Phone
(414) 964-8450

Authorized Official

Name
DR. DIMITRIOS P BOUSOUNIS, MD
Title
OWNER
Phone
(414) 964-8450

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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