Great Lakes Neurosurgical Associates Llc in Kenosha - Neurological Surgery

Great Lakes Neurosurgical Associates Llc - NPI 1578743019

Great Lakes Neurosurgical Associates Llc is a Neurological Surgery in Kenosha, Wisconsin. Great Lakes Neurosurgical Associates Llc practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Great Lakes Neurosurgical Associates Llc is 1578743019. The last update date is 2013-05-17.

Great Lakes Neurosurgical Associates Llc's current location address is 10400 75th St, Kenosha, Wisconsin. You can contact this provider via phone number 2629487000. The mailing address for Great Lakes Neurosurgical Associates Llc is 10400 75th St, Kenosha, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Great Lakes Neurosurgical Associates Llc
Address 10400 75th St, Kenosha, Wisconsin
Phone Number 2629487000
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Pannu S Yashdip
Credentials M.D.
Telephone Number 4143858702

NPI Number Detail

NPI Number 1578743019
Provider Enumeration Date 2007-11-13
Last Updated Date 2013-05-17

Provider Mailing Address Detail

Address 10400 75th St
City Kenosha
State Wisconsin (WI)
Post Code 531427884
Phone Number 2629487000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neurological Surgery
Taxonomy 207T00000X
Definition:
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their

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FAQs about Great Lakes Neurosurgical Associates Llc

What is the unique provider identifier assigned to Great Lakes Neurosurgical Associates Llc?

The Great Lakes Neurosurgical Associates Llc has been issued the NPI (National Provider Identifier) 1578743019 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Great Lakes Neurosurgical Associates Llc?

The Great Lakes Neurosurgical Associates Llc is situated at 10400 75Th St, in the city of Kenosha, state of WI, with the zip code 531427884.

What is Great Lakes Neurosurgical Associates Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Great Lakes Neurosurgical Associates Llc is Neurological Surgery, and the taxonomy classification code that categorizes this area of expertise is 207T00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1578743019 to Great Lakes Neurosurgical Associates Llc?

The Great Lakes Neurosurgical Associates Llc received its 1578743019 assignment from the Centers for Medicare & Medicaid Services on 2007-11-13.

As of what date were the details related to Great Lakes Neurosurgical Associates Llc most recently updated or revised?

The information pertaining to Great Lakes Neurosurgical Associates Llc, including its address, specialty, and other relevant details, was last updated or revised on 2013-05-17.

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