Organization
AZH VASCULAR CENTER MKE SC
Active
Organization
AZH VASCULAR CENTER MKE SC
Active
Other names
AZH Vascular Center MKE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE WAGNER (PRACTICE MANAGER)
(262) 577-0250
Entity
Organization
Contact information
Practice address
2500 W LAYTON AVE, SUITE 40, MILWAUKEE, WI 53221-5420
(262) 577-0250
(262) 577-0251
Mailing address
2500 W LAYTON AVE, SUITE 40, MILWAUKEE, WI 53221-5420
(262) 577-0250
(262) 577-0251
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
08/30/2016
Last updated
07/09/2021
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