Organization

Donald E. Dlouhy Llc

Clinic/Center in Butler, WI(View on Map)

Legal Business Name

Donald E. Dlouhy Llc

NPI Number

1215177167

NPI Type

Organization

Enumeration Date

03/04/2009

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

1863-035

Contact
Information

Purpose

Mailing
Location

Address

12728 W HAMPTON AVE
12728 W HAMPTON AVE

City

Butler
Butler

State

WI
WI

Postal Code

53007-1602
53007-1602

Country

US
US

Telephone Number

(262) 781-8693
(262) 781-8693

Authorized Official

Name

Dr. Donald Dlouhy

Title or Position

OWNER

Telephone Number

(262) 781-8693

Identifiers

Identifier

38519900
DE41133

Identifier State

WI
WI

Identifier Issuer

Unknown
SPECTERA

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/06/2014

Provider Address