| Organization Name: | CARDIOTHORACIC SURGERY GROUP, SC |
| NPI Number: | 1114214350 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT MCMANUS (M.D.) |
| Mailing Address: | 10150 W National Ave Suite 190 West Allis |
| State: | WI US |
| Postal Code: | 532272145 |
| Phone Number: | 4142715119 |
| Fax Number: | 4142713756 |
| NPI Enumeration Date: | 07/08/2011 |
| NPI Last Update Date: | 07/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 2780-23 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |