West Side Neurology Sc
NPI #1265685093 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1265685093
- Entity Type
- Organization
- Organization Name
- West Side Neurology Sc
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Oct 24, 2008
- Last Updated
- Oct 24, 2008
Practice Location
- Address
- 2448 S 102ND ST
- Address 2
- STE 125
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-2466
- Phone
- (414) 328-3800
Authorized Official
- Name
- JEFF DORNBURG
- Title
- BILLING ADMIN
- Phone
- (414) 328-3800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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