Organization
WAUSAU HEART & LUNG SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO A RIVERON MD (PRESIDENT)
(715) 847-0400
Entity
Organization
Contact information
Practice address
425 PINE RIDGE BLVD, SUITE 209, WAUSAU, WI 54401-4123
(715) 847-0400
(715) 847-0401
Mailing address
425 PINE RIDGE BLVD, SUITE 209, WAUSAU, WI 54401-4123
(715) 847-0400
(715) 847-0401
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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