Wisconsin Vein Center and Medispa, Sc

NPI #1083732788 in Pewaukee, Wisconsin

Provider Information

NPI Number: 1083732788
Entity Type: Organization
Organization Name: Wisconsin Vein Center and Medispa, Sc
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Mar 27, 2007
Last Updated: Oct 28, 2008

Practice Location

Address: 1231 GEORGE TOWNE DRIVE
Address 2: SUITE G
City: Pewaukee
State: Wisconsin
ZIP Code: 53072
Phone: (262) 746-9088

Authorized Official

Name: DR. DEBORAH L MANJONEY, MD
Title: OWNER
Phone: (262) 746-9088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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