Dermatopathology of Wisconsin Sc
NPI #1164494142 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1164494142
- Entity Type
- Organization
- Organization Name
- Dermatopathology of Wisconsin Sc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- AMERIPATH INC.
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Feb 3, 2006
- Last Updated
- Sep 20, 2024
Practice Location
- Address
- 12805 W BURLEIGH RD
- Address 2
- SUITE 200
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-3111
- Phone
- (262) 797-6434
Authorized Official
- Name
- DARREN THOMAS WHEELER, MD
- Title
- VICE PRESIDENT
- Phone
- (702) 733-7866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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