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Organization
MANITOWOC SURGERY CENTER, LLC
Active
Organization
MANITOWOC SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN SUE WILLHITE MSOLQ (EXECUTIVE DIRECTOR)
(920) 683-1250
Entity
Organization
Contact information
Practice address
1720 MEMORIAL DRIVE, MANITOWOC, WI 54220
(920) 683-1250
(920) 683-1279
Mailing address
1720 MEMORIAL DRIVE, MANITOWOC, WI 54220
(920) 683-1250
(920) 683-1279
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/05/2006
Last updated
04/26/2010
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