Organization
CARDIOVASCULAR SURGERY ASSOCIATES S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL HERBERT WERNER M.D. (PRESIDENT)
(414) 649-3990
Entity
Organization
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, SUITE #310, MILWAUKEE, WI 53215-3677
(414) 649-3990
(414) 649-3969
Mailing address
2901 W KINNICKINNIC RIVER PKWY, SUITE #310, MILWAUKEE, WI 53215-3677
(414) 649-3990
(414) 649-3969
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32735100
—
WI
Enumeration date
07/08/2006
Last updated
08/22/2020
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