PHOENIXC HEALTHCARE, SC

KENOSHA, WI
NPI1821591710
Entity TypeOrganization
Authorized ContactINDRAJIT CHOUDHURI
President
708-488-9515
Organization Subpart ?No
Primary Taxonomy207RC0001X Internal Medicine Clinical Cardiac Electrophysiology
Enumeration Date2018-03-16
Last Update Date2018-03-16
Business Address
PHOENIXC HEALTHCARE, SC
6121 GREEN BAY RD STE 100
KENOSHA, WI 53142-2931
Phone number: 708-488-9515
Mailing Address
PHOENIXC HEALTHCARE, SC
11168 N LAKE SHORE DR
MEQUON, WI 53092-5811
Phone number: