NPI 1831420587

Watertown Heart Institute Sc

Organisation Specialist Watertown, WI

Practice location

Address: 125 Hospital Drive, Watertown, WI 53098-3303
Phone: (920) 262-4449
Fax: (920) 262-4533
Mailing address: 2500 Layton Avenue Suite: 200, Milwaukee, WI 53221-5434

Authorised official

Name: Salim M. Shammo
Title: President
Phone: (414) 282-5105

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 36011-20 (WI)

Other Specialist providers in Wisconsin →

Registry record

NPI: 1831420587
Entity type: Organization
NPI issued: 20 Jan 2010
Record last updated: 21 May 2010

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.