institution
Great Lakes Surgery Center Llc
Ambulatory Surgical Clinic/Center in Kenosha, Wisconsin
NPI 1700045168

Great Lakes Surgery Center Llc is an Ambulatory Surgical Clinic/Center based in Pleasant Prairie, WI and is specialized in Ambulatory Surgical. Great Lakes Surgery Center Llc practices in Kenosha, WI. The NPI Number for Great Lakes Surgery Center Llc is 1700045168 and holds a License No. PENDING (Wisconsin).

The current practice location address for Great Lakes Surgery Center Llc is 6123 Green Bay Rd, Kenosha, WI and can be reached out via phone at 262-657-3668. You can also correspond with Great Lakes Surgery Center Llc through the mailing address at PO BOX 580772, PLEASANT PRAIRIE, WI - 53158-8101 (mailing address contact number: 262-657-3668).

Location: 6123 Green Bay Rd, Kenosha, WI, 53158-8101
institution
Provider Profile Details
NPI Number
1700045168
Provider Name
Great Lakes Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
6123 Green Bay Rd, Kenosha, WI, 53158-8101
Phone Number
262-657-3668
Fax Number
Provider Enumeration Date
06/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6123 Green Bay Rd
City
State
Zip
53142-2927
Phone Number
262-657-3668
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 580772
City
State
Zip
53158-8101
Phone Number
262-657-3668
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
PENDING (Wisconsin)
Definition
Definition to come...
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