Organization
PULMEDIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES M SISSON CRT (PRESIDENT)
(414) 550-5221
Entity
Organization
Contact information
Practice address
8532 W CAPITOL DR, #201, MILWAUKEE, WI 53222-1848
(414) 393-4002
(414) 393-4014
Mailing address
8532 W CAPITOL DR, #201, MILWAUKEE, WI 53222-1848
(414) 393-4002
(414) 393-4014
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
04/17/2013
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