NPI 1053345983

Urology Associates of Wisconsin S.C.

Organisation Urology Physician Neenah, WI

Practice location

Address: 100 Theda Clark Medical Plz Suite 300, Neenah, WI 54956-2763
Phone: (920) 722-7747
Fax: (920) 886-8980

Authorised official

Name: Shelby M Miller
Title: Administrator
Phone: (920) 729-2220

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 37516-020 (WI)

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Registry record

NPI: 1053345983
Entity type: Organization
NPI issued: 10 Jul 2006
Record last updated: 12 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.