National Provider Identifier Database

THIRD COAST VASCULAR SC
Vascular & Interventional Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.


Contact Information

THIRD COAST VASCULAR SC
1441 N TAYLOR DR
SHEBOYGAN, WI53081-1989
Phone: 262-577-0250
Fax: 262-577-0251
Website:
Specialty Taxonomy Code
* Vascular & Interventional Radiology 2085R0204X
Diagnostic Radiology 2085R0202X
Nurse Practitioner 363L00000X
Physical Medicine & Rehabilitation 208100000X
Undersea and Hyperbaric Medicine 207PE0005X

* Indicates primary specialty

NPI Profile & details for THIRD COAST VASCULAR SC

NPI Number 1356085104
Legal business name
LBN
THIRD COAST VASCULAR SC
Authorized official TAHA SIDERS - (COO)
Entity Organization
Organization subpart No
Enumeration date 04/26/2022
Last updated 12/03/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for THIRD COAST VASCULAR SC

There are currently no reviews for THIRD COAST VASCULAR SC


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