Organization
THE WISCONSIN HEART HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA K STANDRIDGE (PRESIDENT)
(414) 778-7800
Entity
Organization
Contact information
Practice address
10000 W BLUEMOUND RD, WAUWATOSA, WI 53226-4321
(414) 778-7800
Mailing address
10000 W BLUEMOUND RD, WAUWATOSA, WI 53226-4321
(414) 778-7800
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
308
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11024500
—
WI
Enumeration date
05/10/2006
Last updated
08/21/2013
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