# CARDIOTHORACIC SURGERY GROUP, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114214350
- **Authorized official:** ROBERT MCMANUS M.D. (M.D.)
- **Authorized official phone:** (414) 271-5119

## Contact information

- **Practice address:** 10150 W NATIONAL AVE, SUITE 190, WEST ALLIS, WI 53227-2145
- **Practice address phone:** (414) 271-5119
- **Practice address fax:** (414) 271-3756
- **Mailing address:** 10150 W NATIONAL AVE, SUITE 190, WEST ALLIS, WI 53227-2145
- **Mailing address phone:** (414) 271-5119
- **Mailing address fax:** (414) 271-3756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 2780-23 | WI | Yes |

## Other

- **Enumeration date:** 07/08/2011
- **Last updated:** 07/08/2011