Organization
CARDIOVASCULAR ASSOCIATES OF NORTHERN WISCONSIN, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER HANSON (ADMINISTRATOR)
(715) 847-2611
Entity
Organization
Contact information
Practice address
500 WIND RIDGE DRIVE, WAUSAU, WI 54401
(715) 847-2611
(715) 847-2465
Mailing address
500 WIND RIDGE DRIVE, WAUSAU, WI 54401
(715) 847-2611
(715) 847-2465
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32756000
—
WI
Enumeration date
06/10/2006
Last updated
11/12/2010
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