NPI 1972688240

Neurological Surgery Consultants, LTD

Organisation Specialist Mequon, WI

Practice location

Address: 13133 N Port Washington Rd Suite 102, Mequon, WI 53097-2419
Phone: (414) 961-0089
Fax: (414) 961-1043
Mailing address: 2025 E Newport Ave Suite 140, Milwaukee, WI 53211-2906

Authorised official

Name: Jack Hudson Deckard
Title: President
Phone: (414) 961-0089

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 24495 (WI)

Other Specialist providers in Wisconsin →

Registry record

NPI: 1972688240
Entity type: Organization
NPI issued: 26 Oct 2006
Record last updated: 22 Aug 2020

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.