NPI 1225304090
Neurologic Associates of Waukesha, LTD
Practice location
- Address
- 1111 Delafield St Suite 105, Waukesha, WI 53188-3417
- Phone
- (262) 542-9503
- Mailing address
- 2980 N Beverly Glen Cir Suite 301, Los Angeles, CA 90077-1726
Authorised official
- Name
- Andrew V. Beykovsky
- Title
- Medical Director
- Phone
- (262) 542-9503
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1225304090
- Entity type
- Organization
- NPI issued
- 27 Mar 2012
- Record last updated
- 27 Mar 2012
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.