Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 73921-20 | WI |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 73921-20 | WI |
N | 208G00000X | Cardiothoracic Vascular Surgeon | A154193 | CA |
NPI | 1295024453 |
---|---|
Provider Name | Dr. Andreas Robert De Biasi |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2011 |
Last Update Date | 05/02/2021 |