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Contact Information

CTVSA WISCONSIN S.C.
6308 8TH AVE
SUITE 3060
KENOSHA, WI53143-5031
 Phone: 262-656-2700
 Fax: 262-656-3672
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for CTVSA WISCONSIN S.C.

NPI # 1225318090
LBN Legal business name CTVSA WISCONSIN S.C.
Authorized official PATROKLOS PAPPAS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2011
Last updated 08/24/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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