Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIMITRIOS P BOUSOUNIS MD
Active OrganizationDIMITRIOS P BOUSOUNIS MD is a Medical Specialty Clinic organization located in GLENDALE, Wisconsin. NPI 1073666269 is currently active in the NPPES registry. Verify at CMS.
Medical Specialty Clinic · GLENDALE, WI
Registration Details
- NPI Number
- 1073666269
- Provider Type
- Organization
- NPI Issued
- Jan 19, 2007 (19.600795347045 yrs)
- Last Updated
- Apr 24, 2008
- License
-
27172 (WI)
Practice Information
- Address
-
200 W SILVER SPRING DR STE 255GLENDALE, WI, 532175058Browse WI providers · Browse ZIP 53217
- Phone
- 4149648450
- Fax
- 4149648451
- Primary Specialty
-
Medical Specialty Clinic
261QM2500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.