OrganizationActive
Premier Cardiovascular Institute of Wisconsin LLC
NPI 1104222330 · Medical Specialty Clinic/Center · Milwaukee, WI
Provider details
- NPI number
- 1104222330
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Obrad Kokanovic, Owner(406) 750-8202
- License
- 51767 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1309 S 54th St
Milwaukee, WI 53214-3404
Phone: (406) 750-8202
Approximate (ZIP-level) locationGet directions
Mailing address
2500 W Layton Ave
Milwaukee, WI 53221-5420
Registry dates
- Enumerated
- 2014-11-17
- Last updated
- 2015-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.