Organization
HEART FAILURE SURVIVAL CENTER OF AMERICA SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA M QUAAK (PROJECT MANAGER)
(715) 330-7090
Entity
Organization
Contact information
Practice address
1281 MARINETTE AVE, MARINETTE, WI 54143-2018
(715) 330-7090
(715) 732-0828
Mailing address
1281 MARINETTE AVE, MARINETTE, WI 54143-2018
(715) 330-7090
(715) 732-0828
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
47840-20
WI
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100053346
—
WI
Enumeration date
11/25/2015
Last updated
12/14/2022
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