WISCONSIN VEIN CENTER AND MEDISPA, SC – NPI #1083732788
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

WISCONSIN VEIN CENTER AND MEDISPA, SC is a surgeon located in PEWAUKEE, WI. NPPES has assigned the NPI number 1083732788 to WISCONSIN VEIN CENTER AND MEDISPA, SC on March 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 18 years ago on Oct 28, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WISCONSIN VEIN CENTER AND MEDISPA, SC below.

NPI Profile for
WISCONSIN VEIN CENTER AND MEDISPA, SC

NPI Number
1083732788
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WISCONSIN VEIN CENTER AND MEDISPA, SC
Primary location
1231 GEORGE TOWNE DRIVE
SUITE G
PEWAUKEE, WI 53072
Phone: (262) 746-9088 Fax: (262) 746-9088
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEBORAH MANJONEY
OWNER
Phone: (262) 746-9088
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)		 WI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.