# EC LASER AND SURGERY INSTITUTE OF WI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EC LASER AND SURGERY INSTITUTE OF WI, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730909664
- **Legal business name:** EC LASER AND SURGERY INSTITUTE OF WI, LLC
- **Authorized official:** KIMBERLY GODDARD COO (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (715) 261-8557

## Contact information

- **Practice address:** 3301 STANLEY ST, STEVENS POINT, WI 54481-1323
- **Practice address phone:** (715) 298-5500
- **Mailing address:** 800 N 1ST ST, WAUSAU, WI 54403-4754
- **Mailing address phone:** (715) 261-8500

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2024
- **Last updated:** 10/15/2024