Spine Neurosurgery Inst of NE Wi S.c.
NPI #1528038866 in Oconto Falls, Wisconsin
Provider Information
- NPI Number
- 1528038866
- Entity Type
- Organization
- Organization Name
- Spine Neurosurgery Inst of NE Wi S.c.
- Primary Specialty
- Neurological Surgery
- Enumeration Date
- Jan 26, 2006
- Last Updated
- Oct 20, 2008
Practice Location
- Address
- 835 S MAIN ST
- Address 2
- SUITE 1
- City
- Oconto Falls
- State
- Wisconsin
- ZIP Code
- 54154-1282
- Phone
- (920) 846-8057
Authorized Official
- Name
- DR. BRYAN M PEREIRA, M.D.
- Title
- PRESIDENT
- Phone
- (920) 846-8057
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neurological Surgery |
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