Ent Specialists of Milwaukee, S.c.

NPI #1932288784 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1932288784
Entity Type: Organization
Organization Name: Ent Specialists of Milwaukee, S.c.
Primary Specialty: Otolaryngology
Enumeration Date: Nov 3, 2006
Last Updated: Oct 11, 2011

Practice Location

Address: 8532 W CAPITOL DR
Address 2: L1OO
City: Milwaukee
State: Wisconsin
ZIP Code: 53222-1827
Phone: (414) 434-0266

Authorized Official

Name: MARY A MIX, M.B.S.
Title: BILLING MANAGER
Phone: (414) 434-0266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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