Organization · Type 2 NPI

Southport Cardiovascular Surgeons LLC

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Paddock Lake, WI

NPI number 1063894723 Active

Practice location

7137 236th Avenue, #103
Paddock Lake, WI 53168

Specialties and licenses

TaxonomyCodeLicense
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000X38886 (WI)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

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About NPI 1063894723

Southport Cardiovascular Surgeons LLC's National Provider Identifier is 1063894723, issued on Jun 18, 2015. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Paddock Lake, WI. The record was last updated on Jun 18, 2015.