Organization
CARDIAC DIAGNOSTIC CLINIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN ANN MARCHESE (PRACTICE MANAGER)
(262) 251-8447
Entity
Organization
Contact information
Practice address
2500 W LAYTON AVE, MILWAUKEE, WI 53221-5420
(262) 251-8447
(262) 251-5193
Mailing address
PO BOX 210918, MILWAUKEE, WI 53221-8016
(262) 251-8447
(262) 251-5193
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
23216
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30359100
—
WI
Enumeration date
01/24/2008
Last updated
02/20/2008
Update your record
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