OrganizationActive
Wisconsin Neurology Clinic, LLC
NPI 1639101405 · Neurology Physician · Oak Creek, WI
Provider details
- NPI number
- 1639101405
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Virendra Misra, Owner(414) 431-6760
- License
- 38580 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2603 W Rawson Ave
Suite 128
Oak Creek, WI 53154-8422
Phone: (414) 431-6760
Fax: (414) 431-6761
Street-level locationGet directions
Mailing address
2603 W Rawson Ave
Oak Creek, WI 53154-8422
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2007-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.