Rising Phoenix Heart Institute, SC
Rising Phoenix Heart Institute, SC provides Specialist services in West Allis, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
2323 S 109th St Ste 195West Allis, WI 53227-1909 Not confirmed with CMS for 12 years — call before visiting
Phone: (414) 541-7158
Fax: (414) 541-7514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 34544 (WI) |
|---|
Record details
| NPI number | 1659555712 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nadia Moussavi — President / Owner · (414) 541-7158 |
| NPI enumerated | December 26, 2007 |
| Last updated in NPPES | October 17, 2013 |
| Mailing address | 2323 S 109th St, Suite 195, West Allis, WI 53227-1909 |
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