Organization
CARDIOVASCULAR SURGERY WTWK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRIS J CARLOS MD (MD)
(219) 836-4944
Entity
Organization
Contact information
Practice address
801 MACARTHUR BLVD, SUITE 205, MUNSTER, IN 46321
(219) 836-4944
(219) 836-5852
Mailing address
801 MACARTHUR BLVD, SUITE 205, MUNSTER, IN 46321
(219) 836-4944
(219) 836-5852
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
08/01/2006
Last updated
08/22/2020
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