NPI 1205943768

Lake Country Plastic and Hand Surgery Sc

Organisation Plastic Surgery Physician Waukesha, WI

Practice location

Address: N19w24075 Riverwood Dr STE 228, Waukesha, WI 53188-1170
Phone: (262) 523-1200

Authorised official

Name: Tracy E McCall
Title: Sole Owner
Phone: (262) 523-1200

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Wisconsin →

Registry record

NPI: 1205943768
Entity type: Organization
NPI issued: 23 Aug 2006
Record last updated: 30 Apr 2019

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.