Stateline Anesthesiologists Sc

NPI #1316937519 in Beloit, Wisconsin

Provider Information

NPI Number: 1316937519
Entity Type: Organization
Organization Name: Stateline Anesthesiologists Sc
Primary Specialty: Anesthesiology
Enumeration Date: Oct 27, 2005
Last Updated: Jun 25, 2014

Practice Location

Address: 1969 W HART RD
Address 2: BELOIT MEMORIAL HOSPITAL
City: Beloit
State: Wisconsin
ZIP Code: 53511-2230
Phone: (608) 364-5355

Authorized Official

Name: DR. JIMSON C TSE, MD
Title: PRESIDENT OF CORPORATION
Phone: (608) 362-7444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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