Eastern Wisconsin Medical Company S.c.

NPI #1831604081 in Brookfield, Wisconsin

Provider Information

NPI Number: 1831604081
Entity Type: Organization
Organization Name: Eastern Wisconsin Medical Company S.c.
Primary Specialty: Surgery
Enumeration Date: Dec 11, 2017
Last Updated: May 4, 2023

Practice Location

Address: 245 S EXECUTIVE DR STE 350
City: Brookfield
State: Wisconsin
ZIP Code: 53005-4214
Phone: (262) 373-1647

Authorized Official

Name: NATHAN AMORUSO
Title: SR VP REVENUE
Phone: (847) 593-8460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Phlebology	202K00000X
Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology	2085R0204X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Surgery	208600000X	Primary

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