Dimitrios P Bousounis Md in Glendale - Medical Specialty

Dimitrios P Bousounis Md - NPI 1073666269

Dimitrios P Bousounis Md is a Medical Specialty in Glendale, Wisconsin. Dimitrios P Bousounis Md practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Dimitrios P Bousounis Md is 1073666269. The last update date is 2008-04-24.

Dimitrios P Bousounis Md's current location address is 200 W Silver Spring Dr Ste 255, Glendale, Wisconsin. You can contact this provider via phone number 4149648450 and fax number 4149648451. The mailing address for Dimitrios P Bousounis Md is 200 W Silver Spring Dr Ste 255, Glendale, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dimitrios P Bousounis Md
Address 200 W Silver Spring Dr Ste 255, Glendale, Wisconsin
Phone Number 4149648450
Fax Number 4149648451
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Bousounis P Dimitrios
Credentials MD
Telephone Number 4149648450

NPI Number Detail

NPI Number 1073666269
Provider Enumeration Date 2007-01-19
Last Updated Date 2008-04-24

Provider Mailing Address Detail

Address 200 W Silver Spring Dr Ste 255
City Glendale
State Wisconsin (WI)
Post Code 532175058
Phone Number 4149648450
Fax Number 4149648451

Provider's Primary Taxonomy Detail

Speciality Medical Specialty
Taxonomy 261Qm2500X
Licence No 27172
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific

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FAQs about Dimitrios P Bousounis Md

What is the Dimitrios P Bousounis Md's unique identification number?

The Dimitrios P Bousounis Md has been assigned the NPI (National Provider Identifier) Number 1073666269 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Dimitrios P Bousounis Md's physical address?

The Dimitrios P Bousounis Md is physically located at 200 W Silver Spring Dr Ste 255, in the city of Glendale, WI, with the postal code 532175058.

What is Dimitrios P Bousounis Md's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Dimitrios P Bousounis Md's specialized field of practice is Medical Specialty, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm2500X.

When did the Dimitrios P Bousounis Md receive its 1073666269?

The Dimitrios P Bousounis Md was issued its 1073666269 on 2007-01-19, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Dimitrios P Bousounis Md, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Dimitrios P Bousounis Md, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-24.

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