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Organization
ORTHOMIDWEST SURGERY CENTER BELOIT, LLC
Active
Organization
ORTHOMIDWEST SURGERY CENTER BELOIT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE ELMER CPCS (DIRECTOR, CREDENTIALING AND RISK)
(815) 381-7431
Entity
Organization
Contact information
Practice address
2102 FREEMAN PARKWAY, BELOIT, WI 53511
(815) 398-9491
Mailing address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 381-7431
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/08/2022
Last updated
06/06/2023
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