# EAST MEQUON SURGERY CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1346235058
- **Authorized official:** KARA RICHARDSON (ASSISTANT TREASURER)
- **Authorized official phone:** (704) 631-0450

## Contact information

- **Practice address:** 12203 CORPORATE PKWY, MEQUON, WI 53092-3388
- **Practice address phone:** (262) 387-8383
- **Practice address fax:** (262) 387-8384
- **Mailing address:** PO BOX 909981, MILWAUKEE, WI 53209-8981
- **Mailing address phone:** (414) 352-3341
- **Mailing address fax:** (414) 247-4588

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2005
- **Last updated:** 10/03/2025