SOUTHEAST WISCONSIN AMBULATORY SURGICAL CENTER S C is an ambulatory surgical clinic center in Kenosha, WI. SOUTHEAST WISCONSIN AMBULATORY SURGICAL CENTER S C NPI is 1225153620. The provider is registered as an organization entity type. The provider Former Legal Business Name Is Southeast Wisconsin Surgical Suites Sc.
The provider's business location address is:
10105 74TH ST SUITE 102 KENOSHA, WI ZIP 53142-519 Phone: (262) 697-4301 Fax: (262) 925-8409
The provider's authorized official is Cynthia R Cernak . The authorized official title is Owner and has the following contact phone number (262) 697-4301.
The enumeration date for this NPI number is 3/21/2007 and was last updated on 7/7/2014.
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:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
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