THE PLASTIC SURGERY GROUP SC NPI 1841306974

NPI Information

THE PLASTIC SURGERY GROUP SC is a plastic and reconstructive surgery surgery in Wausau, WI. The provider is a surgeon who specializes in plastic and reconstructive surgery. THE PLASTIC SURGERY GROUP SC NPI is 1841306974. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is North Central Wisconsin Plastic Surgery Sc.

The provider's business location address is:

425 PINE RIDGE BLVD
SUITE 205
WAUSAU, WI
ZIP 54401
Phone: (715) 847-0444
Fax: (715) 847-0445

The provider's authorized official is Jill E Kinney-horvat .
The authorized official title is Administrator and has the following contact phone number (715) 847-0444.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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