Organization
LAKE COUNTRY CARDIOVASCULAR ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER J OSTROMECKI M.D. (PRESIDENT)
(262) 646-3058
Entity
Organization
Contact information
Practice address
385 WILLIAMSTOWNE, DELAFIELD, WI 53018-2323
(262) 646-3058
(262) 646-3002
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21253200
—
WI
Enumeration date
11/03/2005
Last updated
09/30/2011
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