Provider Demographics
NPI:1669660403
Name:HEART CARE ASSOCIATES
Entity Type:Organization
Organization Name:HEART CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZHAOWEI
Authorized Official - Middle Name:
Authorized Official - Last Name:AI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:920-251-3981
Mailing Address - Street 1:600 FERN ST
Mailing Address - Street 2:
Mailing Address - City:WAUPUN
Mailing Address - State:WI
Mailing Address - Zip Code:53963-1018
Mailing Address - Country:US
Mailing Address - Phone:920-251-3981
Mailing Address - Fax:
Practice Address - Street 1:600 FERN ST
Practice Address - Street 2:
Practice Address - City:WAUPUN
Practice Address - State:WI
Practice Address - Zip Code:53963-1018
Practice Address - Country:US
Practice Address - Phone:920-251-3981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI45544207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty