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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, S.C.

NPI # 1053321620
LBN Legal business name NEUROSPINE CENTER OF WISCONSIN, S.C.
Authorized official ANGELA PERRONNE - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/08/2006
Last updated 07/23/2024 - More than a year ago
Identifiers
WI Medicaid 32884500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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