Healthcare Provider Details

I. General information

NPI: 1639128523
Provider Name (Legal Business Name): ARRHYTHMIA CONSULTANTS OF MILWAUKEE,SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 08/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 W KINNICKINNIC RIVER PKWY SUITE 550
MILWAUKEE WI
53215-3669
US

IV. Provider business mailing address

2801 W KINNICKINNIC RIVER PKWY SUITE 550
MILWAUKEE WI
53215-3669
US

V. Phone/Fax

Practice location:
  • Phone: 414-649-3200
  • Fax:
Mailing address:
  • Phone: 414-649-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number21655
License Number StateWI

VIII. Authorized Official

Name: STEPHEN T DENKER
Title or Position: OWNER
Credential: MD
Phone: 414-649-3200