Provider Demographics
NPI:1619431756
Name:VISION ANESTHESIA, SC
Entity Type:Organization
Organization Name:VISION ANESTHESIA, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANFRED
Authorized Official - Middle Name:M
Authorized Official - Last Name:KREUZPAINTNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:262-787-4050
Mailing Address - Street 1:225 S EXECUTIVE DR
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-4257
Mailing Address - Country:US
Mailing Address - Phone:262-787-4050
Mailing Address - Fax:262-439-7683
Practice Address - Street 1:10200 W INNOVATION DR STE 700
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4827
Practice Address - Country:US
Practice Address - Phone:414-302-9196
Practice Address - Fax:262-439-7683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty