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

Wisconsin Neurology Clinic, LLC

Organization Neurology Physician · NPI 1639101405

Wisconsin Neurology Clinic, LLC is a Neurology Physician in Oak Creek, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
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

2603 W Rawson Ave Ste 128
Oak Creek, WI 53154-8422
Phone: (414) 431-6760
Fax: (414) 431-6761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 38580 (WI)

Record details

NPI number1639101405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Virendra Misra — Owner · (414) 431-6760
NPI enumeratedJuly 6, 2006
Last updated in NPPESOctober 24, 2007
Mailing address2603 W Rawson Ave, Suite 128, Oak Creek, WI 53154-8422

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