Individual
MARIO G GASPARRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6000
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6000
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
41821
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114971439
—
WI
01
—
P01613717
RAILROAD MEDICARE
WI
Enumeration date
05/20/2006
Last updated
02/04/2022
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