Northshore Gynecology Associates

NPI #1699959775 in Mequon, Wisconsin

Provider Information

NPI Number: 1699959775
Entity Type: Organization
Organization Name: Northshore Gynecology Associates
Primary Specialty: Specialist
Enumeration Date: Dec 25, 2007
Last Updated: Dec 25, 2007

Practice Location

Address: 13133 N PORT WASHINGTON RD
Address 2: 204
City: Mequon
State: Wisconsin
ZIP Code: 53097-2419
Phone: (262) 243-7470

Authorized Official

Name: FREDERICK G WESTREICH, M.D.
Title: MD/CO OWNER
Phone: (262) 243-7470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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