Organization · Type 2 NPI

Third Coast Vascular SC

Vascular & Interventional Radiology Physician · Sheboygan, WI

NPI number 1356085104 Active

Practice location

1441 N Taylor Dr
Sheboygan, WI 53081-1989

Fax (262) 577-0251

Specialties and licenses

TaxonomyCodeLicense
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Vascular & Interventional Radiology Physician Primary 2085R0204XNone listed
Nurse Practitioner 363L00000XNone listed

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

4 other providers at this address

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About NPI 1356085104

Third Coast Vascular SC's National Provider Identifier is 1356085104, issued on Apr 26, 2022. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Sheboygan, WI. The record was last updated on Dec 3, 2025.