Organization
SOUTHPORT CARDIOVASCULAR SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER STONE MD (OWNER)
(262) 843-4422
Entity
Organization
Contact information
Practice address
7137 236TH AVENUE, #103, PADDOCK LAKE, WI 53168
(262) 843-4422
Mailing address
7137 236TH AVENUE, #103, PADDOCK LAKE, WI 53168
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
38886
WI
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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