DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WISCONSIN MICHIGAN PHYSICIANS, SC

Active Organization

Interventional Vascular Surgery · NIAGARA, WI

Registration Details

NPI Number
1699719476
Provider Type
Organization
NPI Issued
Jun 15, 2006 (19.891044227472 yrs)
Last Updated
Oct 2, 2018
Licenses
746200001 (WI)
34886 (WI)

Practice Information

Address
1601 ROOSEVELT RD
NIAGARA, WI, 541511043
Browse WI providers · Browse ZIP 54151
Phone
7152251780
Fax
7152511787
Primary Specialty
Interventional Vascular Surgery
208VP0014X
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.