SURGICENTER OF GREATER MILWAUKEE LLC NPI 1447355243

NPI Information

SURGICENTER OF GREATER MILWAUKEE, LLC is an ambulatory surgical clinic center in Milwaukee, WI. SURGICENTER OF GREATER MILWAUKEE, LLC NPI is 1447355243. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Surgicenter Of Greater Milwaukee, Inc..

The provider's business location address is:

3223 S 103RD ST
MILWAUKEE, WI
ZIP 53227-103
Phone: (414) 328-5800
Fax: (414) 328-5805

The provider's authorized official is Marc Cadieux .
The authorized official title is Corporate Vp And Cfo and has the following contact phone number (414) 266-6226.

The CLIA number assigned to this NPI record is 52D0901767 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 3/29/2016.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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