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Contact Information

GREAT LAKES NEUROSURGICAL ASSOCIATES LLC
2901 W KINNICKINNIC RIVER PARKWAY
SUITE 300
MILWAUKEE, WI53215
 Phone: 414-385-8702
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GREAT LAKES NEUROSURGICAL ASSOCIATES LLC

NPI Number 1134317738
LBN Legal business name GREAT LAKES NEUROSURGICAL ASSOCIATES LLC
Authorized official YASHIIP PANNU - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/09/2007
Last updated 05/17/2013 - About 13 years ago
Identifiers
WI License # 45579-20
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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