Ctvsa Wisconsin SC
Ctvsa Wisconsin SC is a Vascular Surgery Physician in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.
- Licensed in
- WI
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
6308 8th Ave Ste 3060Kenosha, WI 53143-5031
Phone: (262) 656-2700
Fax: (262) 656-3672
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) | Taxonomy 208G00000X (WI) |
|---|---|
| Vascular Surgery Physician | Taxonomy 2086S0129X (WI) |
Record details
| NPI number | 1225318090 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patroklos Pappas — President · (708) 346-4040 |
| NPI enumerated | August 24, 2011 |
| Last updated in NPPES | August 24, 2011 |
| Mailing address | 4400 W 95th St, Suite 205, Oak Lawn, IL 60453-2654 |