Provider First Line Business Practice Location Address:
WAUKESHA MEMORIAL HOSPITAL-NEUROSCIENCE CENTER
Provider Second Line Business Practice Location Address:
725 AMERICAN AVENUE
Provider Business Practice Location Address City Name:
WAUKESHA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53188
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-928-8200
Provider Business Practice Location Address Fax Number:
262-928-8699
Provider Enumeration Date:
02/13/2006