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Rising Phoenix Heart Institute, Sc
Specialist in West Allis, Wisconsin
NPI 1659555712

Rising Phoenix Heart Institute, Sc is a Specialist based in West Allis, WI. Rising Phoenix Heart Institute, Sc practices in West Allis, WI. The NPI Number for Rising Phoenix Heart Institute, Sc is 1659555712 and holds a License No. 34544 (Wisconsin).

The current practice location address for Rising Phoenix Heart Institute, Sc 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
1659555712
Provider Name
Rising Phoenix Heart Institute, Sc
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
12/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110200829 01 WI MEDICARE RAILROAD
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
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
34544 (Wisconsin)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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