Organization
ST. JOSEPH'S ELECTROCARDIOGRAPHIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS H MAHN MD (PRESIDENT)
(414) 427-7820
Entity
Organization
Contact information
Practice address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(414) 427-7820
Mailing address
PO BOX 934, HALES CORNERS, WI 53130-0934
(414) 427-7820
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32698800
—
WI
01
—
CI1337
RR MEDICARE
—
Enumeration date
04/19/2006
Last updated
10/30/2007
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