GREAT LAKES SURGERY CENTER LLC is an ambulatory surgical clinic center in Kenosha, WI. GREAT LAKES SURGERY CENTER LLC NPI is 1700045168. The provider is registered as an organization entity type.
The provider's business location address is:
6123 GREEN BAY RD
SUITE 100
KENOSHA, WI
ZIP 53142-927
Phone: (262) 657-3668
The provider's authorized official is Lisa K Thiery .
The authorized official title is Manager and has the following contact phone number (262) 657-3668.
The enumeration date for this NPI number is 6/2/2008 and was last updated on 3/23/2011.