Organization
CARDIOGRAPHICS PHYSICIANS ST. MARY'S OZAUKEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HUXLEY M.D. (PRESIDENT)
(262) 243-7300
Entity
Organization
Contact information
Practice address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(262) 243-7300
Mailing address
11716 W GREENFIELD AVE, WEST ALLIS, WI 53214-2156
(414) 778-3860
(414) 778-3886
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32855200
—
WI
Enumeration date
08/11/2006
Last updated
08/22/2020
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