Search › Wisconsin › 2084N0402X
Dimitrios Bousounis, M.D
NPI 1861585408 · on the registry since 2006 · sole proprietor
Practice
- Address
- 200 W. Silver Spring Drive
# 255
Glendale, WI 53217 - Phone
- (414) 964-8450
- Fax
- (414) 964-8451
- Organisation at this address
- Dimitrios P Bousounis Md
Brew City Dental Care Llc
John E. Darling, D.D.S., LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2084N0402X
2084N0402X
- Also registered as
- 208000000X
2084N0600X - Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin