Aesthetic and Reconstructive Surgery Associates SC
Organization Active NPI Plastic and Reconstructive Surgery Physician · Waukesha, WI
NPI 1366409658 · NPPES record last updated Oct 24, 2008
Key facts
- NPI
- 1366409658
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License
- 24830 (WI)
- Legal business name
- AESTHETIC AND RECONSTRUCTIVE SURGERY ASSOCIATES SC
- Practice address
- W 231 N1440 Corporate CT
Ste 201
Waukesha, WI 53186 - Phone
- (414) 352-2766
- Fax
- (262) 896-6308
- NPI assigned
- Apr 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Nazih John Yousif, MD
- Title
- President
- Phone
- (414) 352-2766
National Provider Directory
Locations
W231N1440 Corporate Ct
Ste 201
Waukesha, WI 53186
Phone (262) 896-6300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician |
2086S0122X | 24830 | WI | Yes |
Addresses
Primary practice location
W 231 N1440 Corporate CT
Ste 201
Waukesha, WI 53186
Mailing address
W 231 N1440 Corporate CT
Ste 201
Waukesha, WI 53186
Phone (414) 352-2766
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.