Organization
BROOKFIELD HEART AND VASCULAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID K ASHPOLE MD (PRESIDENT)
(414) 266-9740
Entity
Organization
Contact information
Practice address
17000 W NORTH AVE, SUITE 104-W, BROOKFIELD, WI 53005-4423
(262) 785-1500
(414) 785-3828
Mailing address
PO BOX 341353, MILWAUKEE, WI 53234-1353
(262) 785-1500
(414) 785-3828
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21275600
—
WI
Enumeration date
05/23/2007
Last updated
08/22/2020
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