164W00000X
Niagara, WI
Specialty
164W00000X
Credential
LPN
NPI
1699928218
1601 Roosevelt Rd., Niagara, WI 54151
(888) 724-6377Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 164w00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 164W00000X