Spine Neurosurgery Inst of NE Wi SC
Spine Neurosurgery Inst of NE Wi SC provides Neurological Surgery Physician services in Oconto Falls, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
835 S Main St Ste 1Oconto Falls, WI 54154-1282 Not confirmed with CMS for 17 years — call before visiting
Phone: (920) 846-8057
Fax: (920) 846-4588
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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 39920-20 (WI) |
|---|
Record details
| NPI number | 1528038866 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bryan Pereira — President · (920) 846-8057 |
| NPI enumerated | January 26, 2006 |
| Last updated in NPPES | October 20, 2008 |
| Mailing address | 3409 Nicolet Dr, Green Bay, WI 54311-7203 |