Walter Jospeh Surowiec JR.
Cardiothoracic Vascular Surgeon
1340 Broad Ave Ste 420
Gulfport
, Mississippi 39501-2404
Walter Jospeh Surowiec JR.
Cardiothoracic Vascular Surgeon
1340 Broad Ave Ste 420
Gulfport
, Mississippi 39501-2404
(228) 575-1528
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Walter Jospeh Surowiec JR.
- Po Box 1810
- Gulfport, MS
- Zip : 39502-1810
- Fax : (228) 575-1528
- Phone : (228) 575-1500
Second Address
- Walter Jospeh Surowiec JR.
- 1340 Broad Ave Ste 420
- Gulfport, MS
- Zip : 39501-2404
- Fax : (228) 575-1528
- Phone : (228) 575-1500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 022945 | LA |
National Provider Identifier
| NPI | 1134142821 |
|---|---|
| Provider Name | Walter Jospeh Surowiec JR. |
| First Address | Gulfport, MS 39502-1810 |
| Second Address | Gulfport, MS 39501-2404 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 11/07/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1498050 | (05) | LA |
| I23642 | (02) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.