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Organization
PHAROS ENTERPRISES OF WISCONSIN, LLC
Active
Organization
PHAROS ENTERPRISES OF WISCONSIN, LLC
Active
Other names
Envision Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS FRAME MD (PRESIDENT)
(608) 469-5536
Entity
Organization
Contact information
Practice address
2356 S 102ND ST, WEST ALLIS, WI 53227-2104
(262) 689-8710
Mailing address
2356 S 102ND ST, WEST ALLIS, WI 53227-2104
(262) 689-8710
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/14/2021
Last updated
06/14/2021
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