Organization
EAU CLAIRE HEART INSTITUTE
Active
Other names
Eau Claire Heart Institute, Eau Claire Heart Institute
Organization subpart
No
Provider details
NPI number
Authorized official
ABD G. KHATIB (PRESIDENT)
(715) 831-4444
Entity
Organization
Contact information
Practice address
659 WEST HAMILTON AVE, EAU CLAIRE, WI 54701-6925
(715) 831-4444
(920) 526-5248
Mailing address
659 WEST HAMILTON AVE, EAU CLAIRE, WI 54701-6925
(715) 831-4444
(920) 526-5248
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386600310
1386600310
WI
05
—
1386600310
—
WI
Enumeration date
01/05/2022
Last updated
01/05/2022
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