Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DIMITRIOS P BOUSOUNIS, M.D.
Active Sole ProprietorDR. DIMITRIOS P BOUSOUNIS, M.D. is a Neurology with Special Qualifications in Child Neurology healthcare provider located in GLENDALE, Wisconsin. NPI 1861585408 is currently active in the NPPES registry. Verify at CMS.
Neurology with Special Qualifications in Child Neurology · GLENDALE, WI
Registration Details
- NPI Number
- 1861585408
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2006 (19.883500600031 yrs)
- Last Updated
- Oct 17, 2007
- Licenses
-
27172 (WI)27172 (WI)27172 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 W. SILVER SPRING DRIVE# 255GLENDALE, WI, 53217Browse WI providers · Browse ZIP 53217
- Phone
- 4149648450
- Fax
- 4149648451
- Primary Specialty
-
Neurology with Special Qualifications in Child Neurology
2084N0402X
- Additional Specialty
- Neurology with Special Qualifications in Child Neurology
- Additional Specialty
- Clinical Neurophysiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.