NPI 1194350991

Warren Anderson, MSP

Practitioner Perfusionist Milwaukee, WI

Practice location

Address: 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548
Phone: (414) 955-1847
Mailing address: 1484 Highland Dr, Lake Geneva, WI 53147-4855

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 228-18 (WI)

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Registry record

NPI: 1194350991
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Mar 2020
Record last updated: 12 Mar 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.