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Organization
THORACIC SURGERY ASSOCIATES, LTD
Active
Organization
THORACIC SURGERY ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F JUST MD (PRESIDENT)
(414) 258-0670
Entity
Organization
Contact information
Practice address
3333 N MAYFAIR RD, SUITE 209, MILWAUKEE, WI 53222-3219
(414) 258-0670
Mailing address
3333 N MAYFAIR RD, SUITE 209, MILWAUKEE, WI 53222-3219
(414) 258-0670
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
14300
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21301300
—
WV
01
—
DE8852
RR MEDICARE
—
Enumeration date
05/08/2006
Last updated
10/24/2007
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