NPI 1063894723

Southport Cardiovascular Surgeons LLC

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Paddock Lake, WI

Practice location

Address: 7137 236th Avenue #103, Paddock Lake, WI 53168
Phone: (262) 843-4422

Authorised official

Name: Christopher Stone
Title: Owner
Phone: (262) 843-4422

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 38886 (WI)

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Wisconsin →

Registry record

NPI: 1063894723
Entity type: Organization
NPI issued: 18 Jun 2015
Record last updated: 18 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.