Organization
COLUMBIA CARDIOGRAPHIC CONSULTANTS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WALCOTT M.D. (PRESIDENT)
(414) 961-3300
Entity
Organization
Contact information
Practice address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 961-3300
Mailing address
PO BOX 1790, BROOKFIELD, WI 53008-1790
(888) 850-0494
(262) 641-6893
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32693500
—
WI
Enumeration date
08/11/2006
Last updated
01/16/2008
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