Wisconsin Phlebology Medical Group SC
Wisconsin Phlebology Medical Group SC provides Phlebology Physician services in Mequon, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
- Specialties on file
- 4
Practice location Address checks out
10614 N Port Washington RdMequon, WI 53092-5013
Phone: (262) 834-0123
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X (WI) |
|---|---|
| Phlebology Physician | Taxonomy 202K00000X (WI) |
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X (WI) |
| Vascular Surgery Physician | Taxonomy 2086S0129X (WI) |
Record details
| NPI number | 1295780492 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nathan Amoruso — Sr Vp Revenue · (847) 593-8460 |
| NPI enumerated | May 24, 2006 |
| Last updated in NPPES | May 4, 2023 |
| Certification date | May 4, 2023 |
| Mailing address | Po Box 1602, Northbrook, IL 60065-1602 |