EAST MEQUON SURGERY CENTER LLC is an ambulatory surgical clinic center in Mequon, WI. EAST MEQUON SURGERY CENTER LLC NPI is 1346235058. The provider is registered as an organization entity type.
The provider's business location address is:
12203 CORPORATE PKWY
MEQUON, WI
ZIP 53092-388
Phone: (262) 387-8383
Fax: (262) 387-8384
The provider's authorized official is Carrie Killoran .
The authorized official title is Administrator and has the following contact phone number (414) 385-4193.
The CLIA number assigned to this NPI record is 52D1022170 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/19/2005 and was last updated on 10/3/2023.