Cardiothoracic Surgery Group, SC
Cardiothoracic Surgery Group, SC is a Surgical Physician Assistant in West Allis, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.
- Licensed in
- WI
- In the registry since
- 2011
Practice location Address checks out
10150 W National Ave Ste 190West Allis, WI 53227-2145
Phone: (414) 271-5119
Fax: (414) 271-3756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 2780-23 (WI) |
|---|
Record details
| NPI number | 1114214350 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert McManus — M.D. · (414) 271-5119 |
| NPI enumerated | July 8, 2011 |
| Last updated in NPPES | July 8, 2011 |
| Mailing address | 10150 W National Ave, Suite 190, West Allis, WI 53227-2145 |
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