Third Coast Vascular Asc LLC

NPI #1952003618 in Sheboygan, Wisconsin

Provider Information

NPI Number
1952003618
Entity Type
Organization
Organization Name
Third Coast Vascular Asc LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Mar 20, 2023
Last Updated
Mar 20, 2023

Practice Location

Address
1441 N TAYLOR DR
ZIP Code
53081-1989
Phone
(262) 577-0250

Authorized Official

Name
TAHA SIDERS, MD
Title
CHIEF OPERATING OFFICER
Phone
(262) 577-0250

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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