CARDIOTHORACIC SURGERY GROUP, SC; NPI #1114214350

Contact Information

CARDIOTHORACIC SURGERY GROUP, SC

10150 W NATIONAL AVE
SUITE 190
WEST ALLIS, WI 53227-2145

Phone: 414-271-5119
Fax: 414-271-3756
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for CARDIOTHORACIC SURGERY GROUP, SC

NPI # 1114214350

LBN Legal business name CARDIOTHORACIC SURGERY GROUP, SC

Authorized official ROBERT MCMANUS - (M.D.)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/08/2011

Last updated 07/08/2011 - About 15 years ago

Identifiers

License #

2780-23

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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CARDIOTHORACIC SURGERY GROUP, SC

Contact Information

Specialty

Surgical

NPI Profile & details for CARDIOTHORACIC SURGERY GROUP, SC

Reviews for CARDIOTHORACIC SURGERY GROUP, SC