Organization · Type 2 NPI
Premier Cardiovascular Institute of Wisconsin LLC
Medical Specialty Clinic/Center · Milwaukee, WI
Practice location
1309 S 54th St
Milwaukee, WI 53214-3404
Mailing address
2500 W Layton Ave, Suite 200
Milwaukee, WI 53221-5420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 51767 (WI) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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About NPI 1104222330
Premier Cardiovascular Institute of Wisconsin LLC's National Provider Identifier is 1104222330, issued on Nov 17, 2014. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Milwaukee, WI. The record was last updated on Jan 27, 2015.