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NPI Profile for CARDIOTHORACIC SURGERY GROUP SC in WEST ALLIS, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1114214350 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/08/2011 | |
| Last updated | 07/08/2011 - About 15 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CARDIOTHORACIC SURGERY GROUP, SC
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CARDIOTHORACIC SURGERY GROUP, SC