Wisconsin Heart Group Associates LLC
NPI #1639402365 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1639402365
- Entity Type
- Organization
- Organization Name
- Wisconsin Heart Group Associates LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WISCONSIN HEART GROUP, S.C.
- Primary Specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Enumeration Date
- Sep 14, 2009
- Last Updated
- Sep 15, 2015
Practice Location
- Address
- 16650 W BLUEMOUND RD
- Address 2
- SUITE 200
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-5920
- Phone
- (262) 827-9200
Authorized Official
- Name
- MRS. KIMBERLY ANN COUCH
- Title
- EXECUTIVE ADMINISTRATIVE ASSISTANT
- Phone
- (262) 754-3613
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
| Internal Medicine - Interventional Cardiology — Interventional Cardiology |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) |
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