Organization
CARDIOTHORACIC SURGERY GROUP, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MCMANUS M.D. (M.D.)
(414) 271-5119
Entity
Organization
Contact information
Practice address
10150 W NATIONAL AVE, SUITE 190, WEST ALLIS, WI 53227-2145
(414) 271-5119
(414) 271-3756
Mailing address
10150 W NATIONAL AVE, SUITE 190, WEST ALLIS, WI 53227-2145
(414) 271-5119
(414) 271-3756
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2780-23
WI
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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