Organization

Lakeside Neurocare

Neurology Physician in Oshkosh, WI(View on Map)

Legal Business Name

Lakeside Neurocare

NPI Number

1083048730

NPI Type

Organization

Enumeration Date

08/29/2013

Specialties

(Taxonomies)

Code

2084N0400X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2700 W 9TH AVE STE 225
855 N WESTHAVEN DR

City

Oshkosh
Oshkosh

State

WI
WI

Postal Code

54904-7865
54904-7668

Country

US
US

Telephone Number

(920) 223-5580
(920) 223-5580

Authorized Official

Name

Susan Golden

Title or Position

BUSINESS MANAGER

Telephone Number

(920) 223-5582

Identifiers

Identifier

32820600

Identifier State

WI

Identifier Issuer

Unknown

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

Data last updated by provider on 08/29/2013

Provider Address

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Organization

Valley Neurology Clinic Sc

Oshkosh, WI

Specialty: Neurology Physician (Primary)

Organization

Lakeside Neurocare Limited

Oshkosh, WI

Specialty: Neurology Physician (Primary)

Organization

Midwest Monitoring, Llc

Oshkosh, WI

Specialties: Clinical Neurophysiology Physician (Primary)Electrodiagnostic Medicine PhysicianElectroneurodiagnostic Specialist/TechnologistNeurology Physician