# PHAROS ENTERPRISES OF WISCONSIN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Envision Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619541661
- **Authorized official:** NICHOLAS FRAME MD (PRESIDENT)
- **Authorized official phone:** (608) 469-5536

## Contact information

- **Practice address:** 2356 S 102ND ST, WEST ALLIS, WI 53227-2104
- **Practice address phone:** (262) 689-8710
- **Mailing address:** 2356 S 102ND ST, WEST ALLIS, WI 53227-2104
- **Mailing address phone:** (262) 689-8710

## Taxonomy

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

## Other

- **Enumeration date:** 05/14/2021
- **Last updated:** 06/14/2021
