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Dimitrios P Bousounis Md
Medical Specialty Clinic/Center in Glendale, Wisconsin
NPI 1073666269

Dimitrios P Bousounis Md is a Medical Specialty Clinic/Center based in Glendale, WI and is specialized in Medical Specialty. Dimitrios P Bousounis Md practices in Glendale, WI. The NPI Number for Dimitrios P Bousounis Md is 1073666269 and holds a License No. 27172 (Wisconsin).

The current practice location address for Dimitrios P Bousounis Md is 200 W Silver Spring Dr Ste 255, Glendale, WI and can be reached out via phone at 414-964-8450 and via fax at 414-964-8451.

Location: 200 W Silver Spring Dr Ste 255, Glendale, WI, 53217-5058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073666269
Provider Name
Dimitrios P Bousounis Md
Credential
Provider Entity Type
Organization
Address
200 W Silver Spring Dr Ste 255, Glendale, WI, 53217-5058
Phone Number
414-964-8450
Fax Number
414-964-8451
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
200 W Silver Spring Dr Ste 255
City
Glendale
State
Wisconsin
Zip
53217-5058
Phone Number
414-964-8450
Fax Number
414-964-8451
person
Provider Business Mailing Address Details
Address
200 W Silver Spring Dr Ste 255
City
Glendale
State
Wisconsin
Zip
53217-5058
Phone Number
414-964-8450
Fax Number
414-964-8451
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
27172 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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