NPI 1013444629

Nicholas Starkey, CCPLP

Practitioner Perfusionist Wauwautosa, WI

Practice location

Address: 9200 W. Wisconsin Avenue McW - Division of Cardiothoracic Surgery, Wauwautosa, WI 53226
Phone: (414) 955-6900
Mailing address: 300 E Fieldstone Cir APT 5, Oak Creek, WI 53154-7704

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 175-18 (WI)

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Registry record

NPI: 1013444629
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2017
Record last updated: 12 May 2017

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.