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Contact Information

APPLETON CARDIAC & THORACIC SURGERY, S.C.
1818 N MEADE ST
SUITE N347
APPLETON, WI54911-3454
 Phone: 920-225-1449
 Fax: 920-225-1425
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for APPLETON CARDIAC THORACIC SURGERY SC · (Female)

NPI # 1508045113
Status Active
Credentials
Entity Individual
Enumeration date 10/31/2007
Last updated 11/07/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 44645
  • WI Medicaid 34279900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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