Dimitrios P Bousounis in Glendale - Clinical Neurophysiology
Dimitrios P Bousounis - NPI 1861585408
Dimitrios P Bousounis is a Clinical Neurophysiology in Glendale, Wisconsin. Dimitrios P Bousounis practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Dimitrios P Bousounis is 1861585408. The last update date is 2007-10-17.
Dimitrios P Bousounis's current location address is 200 W. Silver Spring Drive, Glendale, Wisconsin. You can contact this provider via phone number 4149648450 and fax number 4149648451. The mailing address for Dimitrios P Bousounis is 200 W. Silver Spring Drive, Glendale, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dimitrios P Bousounis |
|---|---|
| Address | 200 W. Silver Spring Drive, Glendale, Wisconsin |
| Phone Number | 4149648450 |
| Fax Number | 4149648451 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1861585408 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2007-10-17 |
Provider Mailing Address Detail
| Address | 200 W. Silver Spring Drive |
|---|---|
| City | Glendale |
| State | Wisconsin (WI) |
| Post Code | 53217 |
| Phone Number | 4149648450 |
| Fax Number | 4149648451 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | 27172 |
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Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30679100 | WI | -- |
Post Comment/ Review Below
Can you provide the Dimitrios P Bousounis's physical address?
The Dimitrios P Bousounis is physically located at 200 W. Silver Spring Drive, in the city of Glendale, WI, with the postal code 53217.
Could you please provide the complete street address where Dimitrios P Bousounis is physically located?
The Dimitrios P Bousounis is physically situated at the following address: 200 W. Silver Spring Drive, Glendale, WI, 53217.
What is Dimitrios P Bousounis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dimitrios P Bousounis is Clinical Neurophysiology, and the taxonomy code that categorizes this field of expertise is 2084N0600X.
When did the Dimitrios P Bousounis receive its 1861585408?
The Dimitrios P Bousounis was issued its 1861585408 on 2006-10-02, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Dimitrios P Bousounis most recently updated or revised?
The information pertaining to Dimitrios P Bousounis, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-17.
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