Organization
WISCONSIN HEART, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MOSES (MD)
(608) 260-2100
Entity
Organization
Contact information
Practice address
2601 W. BELTLINE HWY, MADISON, WI 53713
(608) 260-2100
(608) 260-2101
Mailing address
PO BOX 88541, MILWAUKEE, WI 53288-0001
(608) 260-2100
(608) 260-2201
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21250900
—
WI
Enumeration date
02/09/2006
Last updated
06/12/2012
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