Organization
WEST SUBURBAN CARDIOTHORACIC SURGERY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL E SEIFERT MD (PRESIDENT)
(262) 522-6900
Entity
Organization
Contact information
Practice address
N14W23833 STONE RIDGE DR, SUITE 240, WAUKESHA, WI 53188-1157
(262) 522-6900
(262) 522-6835
Mailing address
N14W23833 STONE RIDGE DR, SUITE 240, WAUKESHA, WI 53188-1157
(262) 522-6900
(262) 522-6835
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21256600
—
WI
Enumeration date
06/09/2006
Last updated
06/18/2010
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