Spine Neurosurgery Inst of NE Wi SC
Spine Neurosurgery Inst of NE Wi SC is a Neurological Surgery Physician 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
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 |