# RENAISSANCE SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1134330533
- **Authorized official:** DIANA KRAUSE (ADMINISTRATOR)
- **Authorized official phone:** (920) 203-6263

## Contact information

- **Practice address:** 2400 WITZEL AVE, SUITE C, OSHKOSH, WI 54904-8369
- **Practice address phone:** (920) 203-6263
- **Mailing address:** 2400 WITZEL AVE, SUITE C, OSHKOSH, WI 54904-8369
- **Mailing address phone:** (920) 203-6263

## Taxonomy

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

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 08/22/2020