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Organization

ADVANCED HEART & LUNG SURGEONS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER M WALESKOWSKI (PRACTICE ADMINISTRATOR)
(937) 279-9777
Entity
Organization

Contact information

Practice address
30 E APPLE ST STE 4256, DAYTON, OH 45409
(937) 279-9777
(937) 279-9332
Mailing address
30 E APPLE ST STE 4256, DAYTON, OH 45409-2939
(937) 279-9777
(937) 279-9332

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0825110
MI
Enumeration date
07/07/2006
Last updated
09/20/2018
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