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WESTERN WISCONSIN UROLOGY NPI 1710060199


NPI Information

NPI: 1710060199
Provider Name: WESTERN WISCONSIN UROLOGY
Classification: Urology - 208800000X
Entity Type: Organization
Address:
3217 STEIN BLVD
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 835-6548
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WESTERN WISCONSIN UROLOGY is an urology in Eau Claire, WI. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. WESTERN WISCONSIN UROLOGY NPI is 1710060199. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3217 STEIN BLVD
EAU CLAIRE, WI
ZIP 54701-995
Phone: (715) 835-6548
Fax: (715) 835-7708

The provider's authorized official is David J Katz .
The authorized official title is President and has the following contact phone number (715) 835-6548.

The enumeration date for this NPI number is 10/22/2006 and was last updated on 9/3/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyWISCONSINNo
2208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
132666800MEDICAIDWISCONSIN
220002MEDICARE PINWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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