# GREEN BAY SURGICAL CENTER

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

## Provider details

- **NPI number:** 1194822411
- **Authorized official:** MRS. SUSAN BARTEL (MANAGER)
- **Authorized official phone:** (920) 432-7433

## Contact information

- **Practice address:** 704 S WEBSTER AVE, GREEN BAY, WI 54301
- **Practice address phone:** (920) 432-7433
- **Practice address fax:** (920) 432-8752
- **Mailing address:** 704 S WEBSTER AVE, GREEN BAY, WI 54301
- **Mailing address phone:** (920) 432-7433
- **Mailing address fax:** (920) 432-8752

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020