Provider Demographics
NPI:1578713343
Name:PHILIP, CYRIL N (MD)
Entity Type:Individual
Prefix:DR
First Name:CYRIL
Middle Name:N
Last Name:PHILIP
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Gender:M
Credentials:MD
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Mailing Address - Street 1:850 GENEVA PARKWAY N
Mailing Address - Street 2:STE 100
Mailing Address - City:LAKE GENEVA
Mailing Address - State:WI
Mailing Address - Zip Code:53147-4562
Mailing Address - Country:US
Mailing Address - Phone:262-299-6199
Mailing Address - Fax:262-293-6953
Practice Address - Street 1:850 GENEVA PARKWAY N
Practice Address - Street 2:STE 100
Practice Address - City:LAKE GENEVA
Practice Address - State:WI
Practice Address - Zip Code:53147-4562
Practice Address - Country:US
Practice Address - Phone:262-299-6199
Practice Address - Fax:262-293-6953
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2021-11-30
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Provider Licenses
StateLicense IDTaxonomies
WI55669207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine