IndividualActive
Dimitrios Bousounis, M.D.
NPI 1861585408 · Neurology with Special Qualifications in Child Neurology Physician · Glendale, WI
Provider details
- NPI number
- 1861585408
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 27172 (WI)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 27172 (WI)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
200 W. Silver Spring Drive
# 255
Glendale, WI 53217
Phone: (414) 964-8450
Fax: (414) 964-8451
Approximate (ZIP-level) locationGet directions
Mailing address
200 W. Silver Spring Drive
Glendale, WI 53217
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2007-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.