| NPI | 1972901262 |
|---|---|
| Former Legal Business Name | WISCONSIN VEIN SOLUTIONS, SC |
| Entity Type | Organization |
| Authorized Contact | THERESA M QUINN Medical Director 262-229-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2021-02-01 |