Healthcare Provider Details

I. General information

NPI: 1639271422
Provider Name (Legal Business Name): CARDIAC RHYTHM SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 12/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 E NEWPORT AVE SUITE 703
MILWAUKEE WI
53211-2984
US

IV. Provider business mailing address

2015 E NEWPORT AVE SUITE 703
MILWAUKEE WI
53211-2984
US

V. Phone/Fax

Practice location:
  • Phone: 414-962-7500
  • Fax: 414-962-7501
Mailing address:
  • Phone: 414-962-7500
  • Fax: 414-962-7501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DEBORAH E BJORN
Title or Position: ADMINISTRATOR
Credential:
Phone: 414-962-7500