Great Lakes Medical & Surgical Center in Milwaukee - Vascular Surgery
Great Lakes Medical & Surgical Center - NPI 1932308186
Great Lakes Medical & Surgical Center is a Vascular Surgery in Milwaukee, Wisconsin. Great Lakes Medical & Surgical Center practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Great Lakes Medical & Surgical Center is 1932308186. The last update date is 2007-07-17.
Great Lakes Medical & Surgical Center's current location address is Po Box 210464, Milwaukee, Wisconsin. You can contact this provider via phone number 4142827575. The mailing address for Great Lakes Medical & Surgical Center is Po Box 210464, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Medical & Surgical Center |
|---|---|
| Address | Po Box 210464, Milwaukee, Wisconsin |
| Phone Number | 4142827575 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Namdari Bahram |
| Credentials | MD |
| Telephone Number | 4142827575 |
NPI Number Detail
| NPI Number | 1932308186 |
|---|---|
| Provider Enumeration Date | 2007-07-17 |
| Last Updated Date | 2007-07-17 |
Provider Mailing Address Detail
| Address | Po Box 210464 |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 53221 |
| Phone Number | 4142827575 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 19858020 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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What is the unique 10-digit identification code issued to Great Lakes Medical & Surgical Center by the Centers for Medicare & Medicaid Services?
The Great Lakes Medical & Surgical Center has been assigned the NPI (National Provider Identifier) 1932308186 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Great Lakes Medical & Surgical Center's physical address?
The Great Lakes Medical & Surgical Center is physically located at Po Box 210464, in the city of Milwaukee, WI, with the postal code 53221.
What is Great Lakes Medical & Surgical Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Great Lakes Medical & Surgical Center is Vascular Surgery, and the taxonomy code that classifies this field of practice is 2086S0129X.
When did the Great Lakes Medical & Surgical Center receive its 1932308186?
The Great Lakes Medical & Surgical Center was issued its 1932308186 on 2007-07-17, which is the date when the organization was assigned this unique identifier.
When was the information regarding Great Lakes Medical & Surgical Center most recently updated?
The details pertaining to the Great Lakes Medical & Surgical Center, including its address, specialty, and other relevant information, were last refreshed on 2007-07-17.