Individual
DR. JORGE GILBERTO MASCARO CARVAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FRCS
Contact information
Practice address
9200 W WISCONSIN AVE, CENTER FOR ADVANCED CARE, MILWAUKEE, WI 53226-3522
(414) 955-6900
(414) 955-0079
Mailing address
9200 W WISCONSIN AVENUE, MILWAUKEE, WI 53226-3222
(414) 955-6900
(414) 955-0079
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
13-876
WI
Other
Enumeration date
05/22/2024
Last updated
05/23/2024
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