RISING PHOENIX HEART INSTITUTE, SC
Medical Practice at 109 St, Milwaukee, WI

License number
Wisconsin 34544
Category
Medical Practice
Type
Specialist
Owner
Name: NADIA MOUSSAVI MD
Title: PRESIDENT / OWNER
Phone: (414) 541-7158
Address
Address
2323 S 109Th St SUITE 195, Milwaukee, WI 53227
National Provider ID: 1659555712
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RISING PHOENIX HEART INSTITUTE, S.C

2323 S 109 St #195, Milwaukee, WI 53227

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Rising Phoenix Heart Institute
Registration:
Jan 28, 1998
Phone:
(414) 541-7158 (Phone)
State ID:
P033913
Business type:
Service Corporation
Office Managers:
Nadia Moussavi Cardiology, Medical Doctor, Principal, inactive,Ann M. Howard Office Manager, inactive
Categories:
Cardiology Physicians & Surgeons, Physicians & Surgeons

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