WISCONSIN SURGERY CENTER LLC NPI 1396774543

NPI Information

WISCONSIN SURGERY CENTER LLC is an ambulatory surgical clinic center in Milwaukee, WI. WISCONSIN SURGERY CENTER LLC NPI is 1396774543. The provider is registered as an organization entity type.

The provider's business location address is:

3305 S 20TH ST
STE 150
MILWAUKEE, WI
ZIP 53215
Phone: (414) 384-2100
Fax: (414) 384-2700

The provider's authorized official is Vishal Lal .
The authorized official title is Executive Director and has the following contact phone number (414) 325-3737.

The CLIA number assigned to this NPI record is 52D2257577 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2006 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:

Other Identifiers

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