# SURGICENTER OF GREATER MILWAUKEE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgicenter of Greater Milwaukee, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447355243
- **Authorized official:** MR. MARC CADIEUX (CORPORATE VP AND CFO)
- **Authorized official phone:** (414) 266-6226

## Contact information

- **Practice address:** 3223 S 103RD ST, MILWAUKEE, WI 53227-4103
- **Practice address phone:** (414) 328-5800
- **Practice address fax:** (414) 328-5805
- **Mailing address:** PO BOX 88842, MILWAUKEE, WI 53288-0001
- **Mailing address phone:** (414) 328-5800
- **Mailing address fax:** (414) 328-5805

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 03/29/2016