Dimitrios P Bousounis MD
Dimitrios P Bousounis MD is a Medical Specialty Clinic/Center in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
200 W Silver Spring Dr Ste 255Glendale, WI 53217-5058
Phone: (414) 964-8450
Fax: (414) 964-8451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 27172 (WI) |
|---|
Record details
| NPI number | 1073666269 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dimitrios Bousounis — Owner · (414) 964-8450 |
| NPI enumerated | January 19, 2007 |
| Last updated in NPPES | April 24, 2008 |
| Mailing address | 200 W Silver Spring Dr Ste 255, Glendale, WI 53217-5058 |