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GREAT LAKES MEDICAL & SURGICAL CENTER NPI 1932308186


NPI Information

NPI: 1932308186
Provider Name: GREAT LAKES MEDICAL & SURGICAL CENTER
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
6000 SOUTH 27TH STREET
MILWAUKEE, WI
ZIP 53221
Phone: (414) 282-7575
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GREAT LAKES MEDICAL & SURGICAL CENTER is a surgery in Milwaukee, WI. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. GREAT LAKES MEDICAL & SURGICAL CENTER NPI is 1932308186. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6000 SOUTH 27TH STREET
MILWAUKEE, WI
ZIP 53221
Phone: (414) 282-7575

The provider's authorized official is Bahram Namdari .
The authorized official title is Owner and has the following contact phone number (414) 282-7575.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 7/17/2007.


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
12086S0129XSurgeryVascular Surgery19858020WISCONSINNo
2208600000XSurgery19858020WISCONSINYes

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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