# WAUKESHA MEDICAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1396287355
- **Authorized official:** BRUCE WILLIAM CARDONE (MEDICAL DIRECTOR)
- **Authorized official phone:** (262) 349-9371

## Contact information

- **Practice address:** 1239 CORPORATE CENTER DR, OCONOMOWOC, WI 53066-4898
- **Practice address phone:** (262) 569-8346
- **Mailing address:** N4W22370 BLUEMOUND RD, SUITE 201, WAUKESHA, WI 53186-1683
- **Mailing address phone:** (262) 349-9371

## Taxonomy

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

## Other

- **Enumeration date:** 11/08/2016
- **Last updated:** 11/08/2016