institution
Southeast Wisconsin Surgery Center Llc
Ambulatory Surgical Clinic/Center in Racine, Wisconsin
NPI 1619611142

Southeast Wisconsin Surgery Center Llc is an Ambulatory Surgical Clinic/Center based in Racine, WI and is specialized in Ambulatory Surgical. Southeast Wisconsin Surgery Center Llc practices in Racine, WI. The NPI Number for Southeast Wisconsin Surgery Center Llc is 1619611142 and holds a License No. (Wisconsin).

The current practice location address for Southeast Wisconsin Surgery Center Llc is 3801 Washington Ave, Racine, WI and can be reached out via phone at 414-949-1938.

Location: 3801 Washington Ave, Racine, WI, 53405-2853
institution
Provider Profile Details
NPI Number
1619611142
Provider Name
Southeast Wisconsin Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
3801 Washington Ave, Racine, WI, 53405-2853
Phone Number
414-949-1938
Fax Number
Provider Enumeration Date
04/21/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043820442 05 WI
1447319496 05 WI
institution
Provider Business Practice Location Address Details
Address
3801 Washington Ave
City
State
Zip
53405-2853
Phone Number
414-949-1938
Fax Number
person
Provider Business Mailing Address Details
Address
3801 Washington Ave
City
State
Zip
53405-2853
Phone Number
414-949-1938
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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