Rocky Mountain Urology,llc

NPI #1689871451 in Columbus, Wisconsin

Provider Information

NPI Number: 1689871451
Entity Type: Organization
Organization Name: Rocky Mountain Urology,llc
Primary Specialty: Urology - Pediatric Urology
Enumeration Date: Jun 27, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 1511 PARK AVE
Address 2: SUITE F
City: Columbus
State: Wisconsin
ZIP Code: 53925-2401
Phone: (920) 623-9970

Authorized Official

Name: DR. MICHAEL ERVIN KUGLITSCH, MD
Title: OWNER
Phone: (920) 623-9970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology - Pediatric Urology — Pediatric Urology	2088P0231X	Primary

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