# EC LASER AND SURGERY INSTITUTE OF WI, LLC

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

## Provider details

- **NPI number:** 1215283866
- **Authorized official:** DR. JOHN ALEXANDER FLATTER MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (209) 603-4955

## Contact information

- **Practice address:** 800 N 1ST ST, SUITE 100, WAUSAU, WI 54403-4754
- **Practice address phone:** (715) 261-8500
- **Mailing address:** 800 N 1ST ST, SUITE 100, WAUSAU, WI 54403-4754
- **Mailing address phone:** (715) 298-5500
- **Mailing address fax:** (715) 298-5506

## Taxonomy

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

## Other

- **Enumeration date:** 08/01/2012
- **Last updated:** 12/28/2025
