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Contact Information

VISAGE FACIAL PLASTIC SURGERY SC
19275 W CAPITOL DR
SUITE 205
BROOKFIELD, WI53045-2742
 Phone: 262-701-7040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for VISAGE FACIAL PLASTIC SURGERY SC · (Female)

NPI # 1326462540
Status Active
Credentials
Entity Individual
Enumeration date 02/07/2014
Last updated 11/09/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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