Wisconsin Specialty Surgery Center,llc

NPI 1053721530 - Clinic/Center - 261QA1903X

NPI Details
NPI 1053721530
Enumeration Date 05/06/2014
Last Updated 05/06/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JONATHAN D JONATHAN
Position CEO
Phone (304) 279-0856
Fax
Practice Location
7401 104TH AVE
KENOSHA WI, 53142-7845, US
Phone (304) 279-0856
Fax
Business Location
7401 104TH AVE
KENOSHA WI, 53142-7845, US
Phone (304) 279-0856
Fax
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
Remove 1053721530 NPI Number
 

According to our database, Wisconsin Specialty Surgery Center,llc NPI is 1053721530, taxonomy code is 261QA1903X Wisconsin Specialty Surgery Center,llc physically located at 7401 104th Ave, Kenosha WI, 53142-7845. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1053721530 NPI number is provided on an as is basis without warranty of any kind. 1053721530 is maintained by the National Plan & Provider Enumeration System. The contents of Wisconsin Specialty Surgery Center,llc are for informational purposes only.