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Contact Information

NEUROSPINE CENTER OF WISCONSIN, S.C.
5320 MICHAELS DR
APPLETON, WI54913-8446
 Phone: 920-882-8200
 Fax: 920-882-8210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NEUROSPINE CENTER OF WISCONSIN SC · (Female)

NPI Number 1053321620
Status Active
Credentials
Entity Individual
Enumeration date 08/08/2006
Last updated 07/23/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 32884500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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