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Rising Phoenix Heart Institute
Medical Specialty Clinic/Center in West Allis, Wisconsin
NPI 1073940235

Rising Phoenix Heart Institute is a Medical Specialty Clinic/Center based in West Allis, WI and is specialized in Medical Specialty. Rising Phoenix Heart Institute practices in West Allis, WI. The NPI Number for Rising Phoenix Heart Institute is 1073940235 and holds a License No. 34544 (Wisconsin).

The current practice location address for Rising Phoenix Heart Institute is 2323 S 109Th St, West Allis, WI and can be reached out via phone at 414-541-7158 and via fax at 414-541-7514.

Location: 2323 S 109Th St, West Allis, WI, 53227-1909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073940235
Provider Name
Rising Phoenix Heart Institute
Credential
Provider Entity Type
Organization
Address
2323 S 109Th St, West Allis, WI, 53227-1909
Phone Number
414-541-7158
Fax Number
414-541-7514
Provider Enumeration Date
10/02/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32454600 05 WI
institution
Provider Business Practice Location Address Details
Address
2323 S 109Th St
City
West Allis
State
Wisconsin
Zip
53227-1909
Phone Number
414-541-7158
Fax Number
414-541-7514
person
Provider Business Mailing Address Details
Address
2323 S 109Th St
City
West Allis
State
Wisconsin
Zip
53227-1909
Phone Number
414-541-7158
Fax Number
414-541-7514
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
34544 (Wisconsin)
Definition
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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