Educates

Specialty details in registry · Mequon, WI

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At a glance

1317 W Towne Square Rd, Mequon, WI 53092-5017

NPPES record updated Aug 21, 2023. Public records can lag behind changes at a practice.

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Practice location

1317 W Towne Square Rd
Mequon, WI 53092-5017

Professional details: NPI, taxonomy & registry record

NPI1306620323

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 251C00000X
Enumeration date: Aug 21, 2023
Record updated: Aug 21, 2023

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

171400000X

Specialty details in registry

251C00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1317 W Towne Square Rd
Mequon, WI 53092-5017

Phone: (414) 687-4856

Mailing address

10451 N STRATFORD PL

MEQUON, WI 530925554

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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