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Organization

THORACIC SURGERY ASSOCIATES, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN F JUST MD (PRESIDENT)
(414) 258-0670
Entity
Organization

Contact information

Practice address
3333 N MAYFAIR RD, SUITE 209, MILWAUKEE, WI 53222-3219
(414) 258-0670
Mailing address
3333 N MAYFAIR RD, SUITE 209, MILWAUKEE, WI 53222-3219
(414) 258-0670

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
14300
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21301300
WV
01
DE8852
RR MEDICARE
Enumeration date
05/08/2006
Last updated
10/24/2007
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