# APPLETON SURGICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083242325
- **Authorized official:** MR. DAVID ROY JOSEPH (OWNER)
- **Authorized official phone:** (314) 550-0188

## Contact information

- **Practice address:** 1616 N CASALOMA DR \# 200, APPLETON, WI 54913-8245
- **Practice address phone:** (314) 550-0188
- **Mailing address:** 5007 S HOWELL AVE \# 125, MILWAUKEE, WI 53207-6157
- **Mailing address phone:** (314) 550-0188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/31/2020
- **Last updated:** 03/31/2020