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Contact Information

CLINIC OF COSMETIC SURGERY SC
5201 N PORT WASHINGTON RD
MILWAUKEE, WI53217-4902
 Phone: 414-963-0500
 Fax: 414-963-0359
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CLINIC OF COSMETIC SURGERY SC

NPI Number 1932395209
LBN Legal business name CLINIC OF COSMETIC SURGERY SC
Authorized official CHRISTINE SCHNEIDER - (BUSINESS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2007
Last updated 01/23/2018 - About 8 years ago
Identifiers
WI Medicaid 30618600
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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