Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Great Lakes Neurosurgical Associates LLC

Organization Neurological Surgery Physician · NPI 1134317738

Great Lakes Neurosurgical Associates LLC provides Neurological Surgery Physician services in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2901 W Kinnickinnic River Pkwy Ste 300
Milwaukee, WI 53215 Not confirmed with CMS for 13 years — call before visiting
Phone: (414) 385-8702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 45579-20 (WI)
Neurological Surgery Physician Taxonomy 207T00000X

Record details

NPI number1134317738
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yashiip Pannu — Owner · (414) 385-8702
NPI enumeratedOctober 9, 2007
Last updated in NPPESMay 17, 2013
Mailing address2901 W Kinnickinnic River Parkway, Suite 300, Milwaukee, WI 53215

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