Polykarpos Anesthesia LLC
NPI #1154850972 in Pleasant Prairie, Wisconsin
Provider Information
- NPI Number
- 1154850972
- Entity Type
- Organization
- Organization Name
- Polykarpos Anesthesia LLC
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Jun 6, 2017
- Last Updated
- Jun 6, 2017
Practice Location
- Address
- 8400 LAKEVIEW PKWY STE 800
- City
- Pleasant Prairie
- State
- Wisconsin
- ZIP Code
- 53158-5819
- Phone
- (705) 275-7799
Authorized Official
- Name
- ARISTEIDIE DIVERIS, MD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (847) 309-9896
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
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