Rocky Mountain Urology LLC

NPI #1740343359 in Columbus, Wisconsin

Provider Information

NPI Number: 1740343359
Entity Type: Organization
Organization Name: Rocky Mountain Urology LLC
Primary Specialty: Urology
Enumeration Date: Dec 18, 2006
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 EMPLOYEE
Phone: (920) 623-9970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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