Organization
CARDIOVASCULAR ASSOCIATES OF WISCONSIN, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA KUSMIEREK (BILLING LEAD)
(414) 219-7845
Entity
Organization
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY #840, MILWAUKEE, WI 53214-3678
(414) 649-3530
(414) 649-3551
Mailing address
2801 W KINNICKINNIC RIVER PKWY #840, MILWAUKEE, WI 53214-3678
(414) 649-3530
(414) 649-3551
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32732600
—
WI
Enumeration date
09/21/2005
Last updated
01/22/2008
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