institution
Great Lakes Surgery Llc
Ambulatory Surgical Clinic/Center in Kenosha, Wisconsin
NPI 1629518006

Great Lakes Surgery Llc is an Ambulatory Surgical Clinic/Center based in Kenosha, WI and is specialized in Ambulatory Surgical. Great Lakes Surgery Llc practices in Kenosha, WI. The NPI Number for Great Lakes Surgery Llc is 1629518006 and holds a License No. (Wisconsin).

The current practice location address for Great Lakes Surgery Llc is 6123 Green Bay Rd Ste 101, Kenosha, WI and can be reached out via phone at 262-657-0224.

Location: 6123 Green Bay Rd Ste 101, Kenosha, WI, 53142-2927
institution
Provider Profile Details
NPI Number
1629518006
Provider Name
Great Lakes Surgery Llc
Credential
Provider Entity Type
Organization
Address
6123 Green Bay Rd Ste 101, Kenosha, WI, 53142-2927
Phone Number
262-657-0224
Fax Number
Provider Enumeration Date
03/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6123 Green Bay Rd Ste 101
City
State
Zip
53142-2927
Phone Number
262-657-0224
Fax Number
person
Provider Business Mailing Address Details
Address
6123 Green Bay Rd Ste 101
City
State
Zip
53142-2927
Phone Number
262-657-0224
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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