KENOSHA UROLOGY CLINIC, S.C.

KENOSHA, WI
NPI1396831343
Entity TypeOrganization
Authorized ContactNED R. NOVSAM
Vice President
262-656-8213
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: WI  308295)
Enumeration Date2006-10-05
Last Update Date2008-06-03
Business Address
KENOSHA UROLOGY CLINIC, S.C.
6308 8TH AVE SUITE 503
KENOSHA, WI 53143-5031
Phone number: 262-656-8213
Mailing Address
KENOSHA UROLOGY CLINIC, S.C.
6308 8TH AVE SUITE 503
KENOSHA, WI 53143-5031
Phone number: 262-656-8213
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