Organization Name: | DRS. DAHLGREN & NEITZKE, INC. |
NPI Number: | 1073665923 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARRY ALBERT DAHLGREN (PRESIDENT) |
Mailing Address: | 7311 W Greenfield Ave West Allis |
State: | WI US |
Postal Code: | 532144730 |
Phone Number: | 4144531010 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 04/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Corporate Health |
Taxonomy Definition: |