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Kenosha Surgicenter Llc
Ambulatory Surgical Clinic/Center in Kenosha, Wisconsin
NPI 1669111274

Kenosha Surgicenter Llc is an Ambulatory Surgical Clinic/Center based in Milwaukee, WI and is specialized in Ambulatory Surgical. Kenosha Surgicenter Llc practices in Kenosha, WI. The NPI Number for Kenosha Surgicenter Llc is 1669111274 and holds a License No. (Wisconsin).

The current practice location address for Kenosha Surgicenter Llc is 10105 74Th St Ste 102, Kenosha, WI and can be reached out via phone at 262-297-7246.

Location: 10105 74Th St Ste 102, Kenosha, WI, 53221-5400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669111274
Provider Name
Kenosha Surgicenter Llc
Credential
Provider Entity Type
Organization
Address
10105 74Th St Ste 102, Kenosha, WI, 53221-5400
Phone Number
262-297-7246
Fax Number
Provider Enumeration Date
06/01/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10105 74Th St Ste 102
City
Kenosha
State
Wisconsin
Zip
53142-7530
Phone Number
262-297-7246
Fax Number
person
Provider Business Mailing Address Details
Address
10105 74Th St Ste 102
City
Kenosha
State
Wisconsin
Zip
53142-7530
Phone Number
262-297-7246
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
()
Definition
Definition to come...
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