Provider Demographics
NPI:1316035637
Name:UROLOGY ASSOCIATES LTD SC
Entity Type:Organization
Organization Name:UROLOGY ASSOCIATES LTD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:AUGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:262-446-3593
Mailing Address - Street 1:1111 DELAFIELD STREET
Mailing Address - Street 2:SUITE 207
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188
Mailing Address - Country:US
Mailing Address - Phone:262-446-3593
Mailing Address - Fax:262-547-0379
Practice Address - Street 1:1111 DELAFIELD STREET
Practice Address - Street 2:SUITE 207
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188
Practice Address - Country:US
Practice Address - Phone:262-446-3593
Practice Address - Fax:262-547-0379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty