Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Great Lakes Neurosurgical Associates LLC

Organization Neurological Surgery Physician · NPI 1134317738

Great Lakes Neurosurgical Associates LLC is a Neurological Surgery Physician 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
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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