| NPI | 1508312570 |
|---|---|
| Former Legal Business Name | AZH VASCULAR CENTER MKE LLC |
| Entity Type | Organization |
| Authorized Contact | VALERIE WAGNER Practice Manager 262-577-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| 2086S0129X Surgery, Vascular Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2021-07-09 |